Americanfamilycharity.org

Bay Area Kids Charity - Vehicle Donation Form

You may also call us at (800)-916-7788

To have your vehicle picked up today, please call (408) 829-2727


Name (First and Last):
Street Address:
City:
State:	California
Zip:
Best Phone Number:
Other Phone :
Best time to call :
E-Mail Address :
Vehicle Info
Year :
Make :
Model :
Does the vehicle run? :	Yes No
Do you have the title? :	Yes No
Is title in doNors name? :	Yes No
Is vehicle currently registered? :	Yes No
Do you have the keys? :	Yes No
Are any tires flat? :	Yes No
Is vehicle intact?:	Yes No
Please explain any mechanical problems : This information helps our volunteer mechanics locate and fix any problems.
Is your vehicle located at a different address? : If Yes, enter address below	Yes No
Where do we pick up the vehicle?
Vehicle Address: Leave blank if the same
City :
State :
Zip :
How did you heard about American Family Charity? :

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