CAR DONATION FORM

Donor Information

Vehicle Information

We can accept cars with no title and/or in poor condition, but we may choose to send those to a different company for pickup. Any information you can provide to help us make that decision would be appreciated. If your older vehicle has exceptional low mileage or might be considered a "Classic," please let us know that also!

Is the car running (can the car be driven)?
YesNo
Do you have the Title?
YesNo
Is there any major body damage?
YesNo