Donor Information

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Donation Amount

I would like to make a donation in the amount of:
Other Amount:
Please display my name on the participant's public donor wall as:

Participant Information

Event Name2021 Twin Cities Heart Walk Digital Experience
Event ID5635
Participant ID21820012
Participant NameFrederick Ankrah
Team NameUHC Tech Govt Programs Provider Tech
Team ID

Mailing Information

Please send this completed form with checks to: