Donate a Forklift to Charity Owner Information - Please fill out then press the SUBMIT button at bottom

Name (First and Last):

Street Address:

City:

State:

Zip:

Cell phone:

Daytime Phone:

Email address:

(This is required)

Donate a Boat to Charity Boat Information (Be as specific as possible)

Forklift Make:

Forklift Model:

Model Year:

Hours in service:

Serial Number :

Condition?

Running?

HP of Engine:

Type of engine:

Condition of engine?
Please fully describe the engine including whether working and any other details:

Location and Special Instructions

Location of forklift (address, city, state & zip):

Phone number & name of any contact person.

Tax Receipt or Recycling Benefit

***Tax Receipt or Coupons/Vacations/Cruise:

Thank you for your participation in our program.

We will process your form and then you will be contacted very soon by email.

Please stay alert for email responses. If for some reason we are not able to pick up in your state we will let you know.

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