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Donate Your Car Today!

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

7 Step Donation Form 2021 v002

Contact

Start
Name
Phone
Address
Receipt
Vehicle
Comments

car donation form step 1: start

Let's get started! What type of vehicle would you like to donate?

I'd like to donate a (click one)

Car

Cycle

Boat

Other

These donations are accepted on a case-by-case basis. Pictures and proof of ownership may be required.

car donation form step 2: contact information

What is your name?

First Name

Last Name

Is this donation in the name of a business or trust?

Yes

Business Name

car donation form step 2.5: contact information

How can we contact you?

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.

car donation form step 3: vehicle pickup information

Please tell us about your pick-up location.

Pickup Address

Pickup Address Line 2

Pickup State

Pickup Zip Code

Pickup City

car donation form step 3.5: mailing address

Tell us where to mail your receipt.

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

Yes

Mailing Address

Mailing Address Line 2

Mailing State

Mailing Zip Code

Mailing City

car donation form step 3.9: year make model

Please tell us more about your vehicle.

Year

Make

Model

Year

Make

Model

Vehicle Year, Make, Model?

Color

Mileage

Accurate mileage is best, but an estimate is fine

car donation form step 4: finish

Complete your donation.

Do you have title?

Having a title increases the sale value and may be required in some states

VIN Number

Required before pickup of most automobiles

I'd like my donation to benefit

Does it run and drive? Are there any mechanical issues? Other comments or concerns?

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

Exit PDF Subscription Form (#9)

Contact

Before you go...

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