Please display my name on the participant's public donor wall as:
Please do not display my name on the donor wall.
Participant Information
Event Name2024 Utah Heart & Stroke Walk
Event ID10736
Participant ID
Participant Name
Team Name
Team ID
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: Utah Heart & Stroke Walk | 4380 S Macadam Ave #480 | Portland, OR 97239