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Vehicle Donation Form

Donate Cars, Trucks, In Any Condition

First and Last Name*

Primary Phone*

Alternate Phone

Email Address*

State/City and Zip Code

I would like to donate a vehicle( if yes, don't forget to do the 2nd part form below) No

Select an option

My Vehicle is at a different address*

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Vehicle Year*

Vehicle Make, Modell and Color*

Mileage (approximately)*

Vin Number (helpful but not required at this time)

Do You have the title?*

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Does the vehicle run?*

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Mechanical Condition (on a scale of 1=worst to 5=best)*

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Body Condition(on a scale of 1=worst to 5=best)*

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Interior Condition(on a scale of 1=worst to 5=best)*

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Break Condition(on a scale of 1=worst to 5=best)*

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Tire Condition(on a scale of 1=worst to 5=best)*

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Vehicle Condition/Special Instructions

How did you hear about us?*

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Donations Used Responsibly

90% of revenue expended on program services

Running Or Not running

We accept vehicles in any condition

Donate Directly To Charity

No middlemen fees, 100% goes to charity

Tax Deductible Donation

Maximum Fair Market Value Deduction Possible

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