vehicle donation form Vans | Cars | Trucks | SUVs | Motorcycles Donor Information Date * MM DD YYYY Donor Name * First Name Last Name Registered Owner's Name * First Name Last Name Street Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Cell Phone * (###) ### #### Alternate Phone (###) ### #### Vehicle Location Street Address (if different from above) Vehicle Information Year * Make * Model * Mileage * Color * VIN# * License Plate # * Please check all that apply * Car (2-door) Truck SUV Car (4-door) Truck (4-wheel drive) Motorcycle Station Wagon Aircraft Other Is the registration current? * Yes No (please explain) Does the vehicle run? * Yes No (please explain) Do you have the title? * Yes No (please explain) Please note any problems/damage Engine Transmission Tires Body Other Thank you!
