CAR DONATION FORM
2-Step Donation - Made Quick & Easy
Fill out the form & help support our programs to put veterans to work.
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This is the last step. Submit the form & you're done.
Boat Donation
Boat Type
Information
Year
Make
Model
Does it run?
Do you have the title?
Overall Condition
Any major damage?
Donor Information
First Name
Last Name
Day Phone
Cell Phone
Evening Phone
Mailing Address
Street Address
City
State
Zip Code
-
Pick-up Address
Pick-Up Street Address
Pick-Up City
Pick-Up State
Pick-Up Zip Code
Additional Information
Car Mileage
Car Color
VIN (if available)
Is it currently registered?
Boat Type
Boat Length
Year Last Used
Link to Photos (if available)
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 (e.g. body damage description, if any). If your older vehicle has exceptional low mileage or might be considered a CLASSIC, please let us know that also!
Any additional information you can provide would be appreciated! Do you know the make, model, and horsepower of the engine? Condition of sails? Extra features?
Notes or Questions
Have you seen Horses for Healing Heroes?

It is a new program of Patriotic Hearts. Veterans and First Responders risk their lives everyday to protect ours. Trauma and stress are the result. They and their families now have a retreat where horses will help them to heal, recuperate and recover.