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Vehicle/Vessel Donation Form

 

Please use this 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 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 driveable as is?  If not, please explain.

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

Special Instructions or Other Comments:

 

Please print this form out and mail to: 5025 Manzanita Ave
Carmichael, CA 95608 Attn: Jani Jacobs

 

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Car Program LLC  *  Since 1993  *  All Rights Reserved





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