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DONATION FORM

Charity Program

Tax Information

1-877-327-1229

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Donate Boat

Donate Motorcycle

Donate Forklift

 

Car Donation / Recycling Form - Pick up is FAST and FREE!

Somewhere A Child Needs Your Help. Please fill out the form below.


First & Last Name:
 
Street Address:
 
City
 
State
 
Zip
 
Cell Phone
 
Day Phone
  (Required)
Email address:
 
(Required)
Make
 
Model
 
Year
 
Mileage
 
VIN
  VIN = Vehicle Identification Number.
If this data is not available now,
submit form and email information later.
This information can be found on your Certificate of Title.
License Plate Number
  (If Availible)
Title Information
  Do you have the Certificate of Title?
What are the name(s) written on title?
Any liens on title?
(Required)
Registration
  Registration up to date?
Last year paid?
Running Condition
 
Running Condition Description
  When last running well?
Known problems
or observed problems.
Any estimates of repair cost.
Exterior Condition
 
Paint, rust, dents, broken parts.
DAMAGE: part(s) damaged / extent of damage(s)
Interior Condition
 
Upholstery, carpets, instrument panel, a/c working etc.
Describe damage or non functioning parts.
Location of Vehicle
 
If location is different than the above address please
provide street address,
City, State, Zip.
Also name and phone number
of contact if available.
Special instructions or Comments.
 
Tax Receipt or Coupons/Vacations
(Choose only one)
 

Thank you for filling out this form. Press the submit button to begin the process.

We will process your form and send you simple instructions. Please stay alert for email responses. Then we will get you in communication with the towing/auction company so that you can make the pickup arrangements.

 

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