Donor Information
First Name
Last Name
Billing Address:
City:
State:
Zip:
Phone Number:
Email Address:
Donation Amount
I would like to make a donation in the amount of:
$1000
$500
$250
$120
$60
$35
Other Amount:
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 Name2023 Midlands Heart Walk
Event ID7933
Participant ID3165778
Participant NameRyan Burt
Team NameLexington Medical Heart & Vascular Center
Team ID
Mailing Information
Please send this completed form with checks to:American Heart Association | 701 Gervais Street, Suite 150, PMB#150 | Columbia, SC 29201