EASY VEHICLE DONATION FORM


Thank you for your donation. We will contact you within one business day to arrange free pick up of your vehicle.

1. Please complete this form so we may contact you to arrange pick-up and send a donation receipt.
Last name
First name
Email address
City
State
Zip code
Phone number
2. How did you hear about our car donation program
Please select one
3. Please provide the year, color, make and model of your vehicle. For example, 1993 blue Ford Taurus   stationwagon or 1995 white Toyota Camry.
Full description

4. Is vehicle driveable

5. What is your VIN#?
6. What is your taxayer ID?
Social security number
7. Do you have the keys to the vehicle? 
8. Do you have clear title to the vehicle, with no lien in your name?
9. Is vehicle pick up address same as above?
If no, what is full address and zip (and contact name)
11.Additional notes?
DiscoverGoodwillCars.com
"Your donations change lives"
Proudly serving Manatee, Sarasota, Desoto, and Hardee counties - FL
Title#
Street address
10. What county of Florida is your vehicle in?
YesNo
YesNo
YesNo
YesNo