Donate a Car Online to Charity Cars, a 501(c)3 Nonprofit

Please use the car donation charities form below to enter the information about the vehicle you would like to donate. The fields marked with an asterisk: "*" are required. When we receive your car donations form, a representative will phone you to verify the information. - Thank you so much for your car donation and desire to help a financially struggling family through our car donation charities program.

Individual Making the Donation :
* Last Name:
* First Name:
Address:
Address:
* City:
* State:	Click & Hold to Choose Alabama Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming
* Zip:
* Telephone Number:
* Email Address:
Alternate contact information (if same as above leave blank)
Name:
Telephone Number:
Information About Vehicle to be Donated:
Vehicle Location (city, state, zip):
Year:
Make:
Model:
Mileage: (if available)
Title State
VIN: (if available)
Clear Title? (Yes or No) (Choose one.)
Yes No
Does the vehicle run? (Yes or No) (Choose one.)
Yes No
Transmission Type? (Choose one.)
Automatic Manual
Is the vehicle a 4x4? (Choose one.)
Yes No
Is the Engine Mechanically Sound? (Choose one.)
Yes No
Number of Doors (Choose one.)
2 Door 4 Door 2 Door + Hatchback 4 Door + Hatchback
California Vehicles Only Is your vehicle currently Smog Certified? (Choose one.)
Yes No
Do you consider your vehicle roadworthy enough to provide reliable transportation to a disadvantaged person? (Choose one.)
Yes No
Describe Mechanical Problems in detail:
Describe Body Condition (rust, cracked windows, dents, paint flaws?):
Describe Interior (seats, headliner, dash, etc.):
Describe Any Fluid Leaks (motor oil, transmission, coolant, power steering, brakes, etc.):
Describe Tires:
How did you hear about us?
Comments or Instructions:

DISCLAIMER:
* Based on the fact that the vast majority of donated vehicles are not eligible to be 'program' cars (Charity Cars bases its decisions on many factors including, but not limited to, year, make, model, mileage, condition, location, recipient, repair and funding limitations.) and since placing a vehicle with a client is the exception rather than the rule, donors should assume that their vehicle will be sold at auction or for salvage with the proceeds returning to Charity Cars Inc. (unless notified in writing that their vehicle will be provided to a disadvantaged person). Although most of the vehicles donated are not of sufficient quality to be 'program' cars, Charity Cars appreciates each and every car donation as they all help to fulfill our missions!

PRIVACY STATEMENT FROM CHARITY CARS, INC.
Charity Cars collects non-public personal information about you. Charity Cars does not disclose any non-public personal information about you to anyone, except as permitted by law. Your confidence in Charity Cars is important and we want you to know that your personal information is safe with us. If you have any questions or concerns, please contact us at Charity Cars.

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