Car Donation Form - Wheels For Wishes

What is your name?

First Name

Last Name

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

Yes

No

Business Name

Disclaimer: The charity reserves the right to sell a donated vehicle with logo or wrap unless otherwise prearranged and approved to cover additional costs. We strongly urge all donors to remove logos and wraps before vehicles are donated.

Please tell us about your pick-up location.

Pickup Address

Pickup State

Pickup Zip Code

Pickup City

Tell us where to mail your receipt.

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

No

Yes

Mailing Address

Mailing State

Mailing Zip Code

Mailing City

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

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?

Donate Your Car Today!

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

What is your name?

How can we contact you?

Please tell us about your pick-up location.

Tell us where to mail your receipt.

Please tell us more about your vehicle.

Complete your donation.