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.

  • Vehicle Information
  • Submission

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

Email

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?

Horses for Healing

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.

https://horses4healingheroes.com/