Americas’ # 1 Free Car Ownership Program

1-800-CHARITY CARS

The Number America Trusts for Charitable Giving

testimonials

Thank you so much for what you did for Kevin. You’ll never know how happy it made him. He cried on the way home. He was so touched. No one’s ever done anything like that for him. I keep telling him he deserves it. It was a very nice thing you did and may God bless you.
Words alone could never thank you for what you’ve done.
Thank You,
Mary L.

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Contact Info  
Last Name:
First Name:
Email:
Mailing Address:
City:
State:
Zip:
Home Phone:
Contact Person:
Contact Phone:
Work Phone:
Cell Phone:
Fax:
 
Vehicle Info  
Vehicle Location  
(street address, city,state,zip):
Year:
Make:
Model:
Mileage: (if available)
VIN: (if available)
Clear Title? Yes No
Number of doors:
Title State:
Automatic Transmission
Manual Transmission
Does Vehicle Run? Yes No
Color:
Is it a 4x4? Yes No
Does Vehicle Run? Yes No
Is the engine
mechanically sound?		 Yes No
Is the transmission sound? Yes No
 
Vehicle Details  
Describe Mechanical
Problems in detail:
Describe Body (rust, cracked
windows, dents, paint flaws?):
Describe Interior (seats,
headliner, dash, etc.):
Describe Any Fluid Leaks
(motor oil, transmission,
coolant, power steering,
brakes, etc.):
California vehicles only:
Is your vehicle currently
smog certified?		 Yes No
On a scale of 1-5, with 5 being excellent, rate the vehicle’s condition:
mechanical:
body:
interior:
brakes:
tires:
   
How did you hear about Charity Cars?
( i.e. xyz agency, newspaper, radio, internet, friend, etc.)
 
Comments / Special Instructions:  
 
 

 

 

The Original Charity Cars. All Rights Reserved 2006.
Charity Cars, Inc. A 501-C-3 Non Profit Charity • Fed ID 59-3362703

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