Name *

First Name

Last Name

Type of Donation?

Car

Boat

RV

Property

Other

Does the vehicle start and drive?

Yes

No

Please check if the vehicle has any of the following  *

Is the check engine light on?

Missing parts inside or outside the car?

Glass or plastic on the windshield or lights cracked?

Any body damage larger than a baseball?

Is this address the same as the one you would like the final sales receipt for tax purposes sent?

Yes

No