Car Donation Charity FAQs
Car Donation/Disposal Form

PLEASE fill out this form in its entirety. It will make the process faster and better for you and us.

Please note: Soon after you send in this form you will be contacted by email by one of our email consultants. Any questions you have put on the form will be addressed during the process. Feel free to begin the process.

Please note: We pick up in all United States except Alaska and Hawaii.

Car Donation Owner Information:

Name:
Address:
City:
State: ZIP:
Cell phone:
Daytime phone:
Email address: Required

Please note: A full email address looks something like this:
JohnJones@aol.com or Janie133@prodigy.net.

We do not give out your email address to anyone not connected with the disposal process.

Car Information: (Be as specific as possible).

Make:
Model Description:
Year:

Approximate Mileage?
Vehicle License Plate: If number not with you see next red note.
VIN (Vehicle Identification Number):
If the license plate number and/or the Vehicle Identification number is not available at the time you fill in this form please email it later and have it ready when the towing company calls to arrange pickup.

Condition of body including any damage. (Please describe):

Condition of interior including any damage. (Please describe):

Does the vehicle run/drive well? (If not, please describe why):

Please write here exactly how the name(s) appear on the Title.

Is your registration (the yearly fee you pay to the state) current?
If not, what year did you last pay your registration fee to the state?

Location of Vehicle & Contact Person: (Please note, if your vehicle is in a different location than your above address, please give that address here as well as the name of the contact person & phone number of the contact person if available.)

Special instructions or Comments.

Do you prefer a tax receipt or Coupons/Vacations/Cruises?
(State which --cannot be both):

Car Donation Charity FAQs
Car Donation/Disposal Form

PLEASE fill out this form in its entirety. It will make the process faster and better for you and us.

Please note: Soon after you send in this form you will be contacted by email by one of our email consultants. Any questions you have put on the form will be addressed during the process. Feel free to begin the process.

Car Donation Owner Information:

Name:
Address:
City:
State: ZIP:
Cell phone:
Daytime phone:
Email address: Required

Car Information: (Be as specific as possible).

Thank you for your participation in the Vehicle Disposal Program. Press the submit button below to begin the process.

We will process your form and then you will be contacted very soon by email. Please stay alert for email responses.

Car Donation Charity FAQs Car Donation/Disposal Form

PLEASE fill out this form in its entirety. It will make the process faster and better for you and us.

Please note: Soon after you send in this form you will be contacted by email by one of our email consultants. Any questions you have put on the form will be addressed during the process. Feel free to begin the process.

Car Donation Owner Information:

Name: Address: City: State: ZIP: Cell phone: Daytime phone: Email address: Required

Car Information: (Be as specific as possible).

Thank you for your participation in the Vehicle Disposal Program. Press the submit button below to begin the process.

We will process your form and then you will be contacted very soon by email. Please stay alert for email responses.

Car Donation Charity FAQs
Car Donation/Disposal Form

Name:
Address:
City:
State: ZIP:
Cell phone:
Daytime phone:
Email address: Required