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 Tampa Bay Heart Walk
Event ID10909
Participant ID26680478
Participant NameAmine Derkaoua
Team NameTDA-Heart of Gold- Heart Strong
Team ID
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: Tampa Bay Heart Walk | 11207 Blue Heron Blvd N | St. Petersburg, FL 33716