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DonateNow

Vehicle Donation Form

* Please complete the below online form or download pdf version and fax to
Car Program at 916-631-1328 or 916-631-4336.
* You may also download the pdf form and scan/email to campos@carprogram.com

Donor Name:
Complete mailing address:
Email:
Phone:
Vehicle Location
(if different from above)
Please check all that apply:

2 Door
4 Door
Station Wagon
4WD

Does the vehicle run and drive as is? Yes No
Do you have the Title? Yes No
Please note any problems below with the car (i.e. Engine, Transmition, Tires, Body, etc...)

Any additional comments/instructions?

 

 
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