Donate Your Car Today!

Your car donation will help make the difference in the life of a local child. Upon receipt of your completed form, you will be contacted by our staff within 24 hours of the next business day. If you have any questions please call us at: 1-855-278-9474.

Type of Vehicle
Pickup Address
Contact Info

Year

Make

Model

Year

Make

Model

Vehicle Year, Make, Model?

Your Full Name or Business Name (for tax receipt)

Pickup Address Line 1

Pickup Address Line 2

Pickup City

Pickup State

Pickup Zip Code

Do you need your receipt to be mailed to a different address than the pickup address above?

Yes

Mailing Address Line 1

Mailing Address Line 2

Mailing City

Mailing State

Mailing Zip Code

Best Phone Number

Our processing partner will call this number to schedule pickup

If needed, may we send text messages using the number above?

Yes

Optional, but greatly helps us to communicate with you.

I'd like my donation to benefit

Do you have title?

May be required in some states

VIN

Required before pickup of most automobiles

Color

Miles

Runs? Drives? Any mechanical issues, comments or concerns?

Wheels For Wishes - a federally registered 501(c)(3) non-profit organization.