► Donate a Car: Donation Form
by ALL
Released December 30, 2005

Please use the following form to donate your car, boat or RV. Our towing company and our customer service department will contact you via telephone within four business days at the latest.

If you have any questions you would like answered previous to initiating the donation process, please e-mail us instead of using this form. Or, if you prefer to speak with a customer service representative, please feel free to call us toll-free at 800-513-6560 seven days a week.To read our privacy policy click here.

Donation Form:

Contact Information
First Name:
Last Name:
Daytime Phone: ( ) (REQUIRED)
Alternate Phone: ( )
E-mail:

Vehicle Location

Address:

City:
State: (Michigan residents need to contact the charity directly to pledge their donation.)
Zip:

Vehicle Information

Year:
Make:
Model:
Licence Plate:
VIN:
Damage to Body (Describe)
Damage to Interior (Describe):
Does the Vehicle run/drive?
Do you have the Certificate of Title?  
Special Instructions or Other Comments:  

Thank you for your donation!

If you have any difficulty with this form or wish to speak with a customer service representative,
please call us toll-free at 800-513-6560.
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