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 Greater Charlotte Heart Walk
Event ID10953
Participant ID21920703
Participant NameAdam Farlow
Team NameJE Dunn Charlotte
Team ID
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: Charlotte Heart Walk | 10 Glenlake Pkwy, South Tower, Ste 400 | Atlanta, GA 30328