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 Name2025 Oregon and SW Washington Heart & Stroke Walk
Event ID11403
Participant ID
Participant Name
Team Name
Team ID
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: Oregon & SW Washington Walk | 4380 SW Macadam Ave, Ste 480 | Portland, OR 97239