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Car Donation Charities Center - Car Donation Form email

 



Vehicle/Vessel Donation Form

 

You may use this Easy Online Donation Form to donate your car, truck, boat, trailer or RV.  If you have any questions you would like answered previous to initiating the donation process, please feel free to email or call us toll-free at 1-800-237-5714 seven days a week.


Donor Information:

 

         First Name   REQUIRED


         Last Name   REQUIRED


              Address   REQUIRED


                     City   REQUIRED

                                       

                   State           Zip   REQUIRED


  Daytime Phone  (  )  - REQUIRED


 Alternate Phone (  )  -  

 

               E-Mail 



Select a Charity:




Vehicle Location:


    Check here if vehicle location is same as Donor address above.


            Address 

                   City 


       State & Zip   



Vehicle Information:


                 Year 

               Make 

              Model 

   License Plate 

                  VIN 


Damage to Body (Describe):


Damage to Interior (Describe):


Is your vehicle drivable as is?  If not, please explain.


Do you have the Certificate of Title?  If not, please explain.


Mileage, Special Instructions or Other Comments:

 

If your vehicle has low mileage or has any value not described above, please tell us about it in the above comments box.

 

 

 

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