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Home



Vehicle Donation Form

By Philip Bailey
Vehicle Donations
* Required
First Name *
Last Name *
Email Address *
 
Address Line 1 *

Address Line 2
City *
State *
Zip Code *
 
Area Code
Phone Number
Home Phone *
Fax Phone
Work Phone
  Ext:
How Did You Learn About Our Organization?
 Radio
 Ad
 Church
 Friend
 TC Graduate
 Other
Vehicle Information
Type of Vehicle *
 Car
 Van
 Truck
 Other
Year: *
Make: *
Model: *
Color:
License Plate Number: *
VIN Number: *
Is the vehicle;s Title in your name? *
 Yes
 No
Pink Slip/Title? *
 Yes
 No
Salvage Title? *
 Yes
 No
Lien Papers? *
 Yes
 No
Complete with tires/ wheels/ engine transmission? *
 Yes
 No
Any flat tires? *
 Yes
 No
Has the vehicle been in an accident/burned/ flood? *
 Yes
 No
 Do not Know
Body Damage? *
Has all trash and personal belongings been removed?
 Yes
 No
Does vehicle start? *
 Yes
 No
Does vehicle have keys? *
 Yes
 No
Please fill out as much information as possible



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    You Can...Get Involved, Donate Now, Watch Video Get InvolvedDonate NowWatch Video

    Online Forms

    Vehicle Donations(form)
     By donating your vehicle, you will be raising funds to promote community awareness in the fight against drug abuse and gang violence in our community. For more information, call toll free at (888) 339-3193.

    Work Study(form)
    Have a project you're working on? Need some extra hands? We are here to help! Work Studies include house cleaning, yard work, construction, remodeling, event serving and more. For more information, call toll free at (888) 339-3193


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