Stock Donation Confirmation

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Vehicle Donation Interest Form

Tell us a little more about the vehicle you're interested in donating in the form below.

If you have a vehicle that is not in good working order, check out Cars, Inc. Cars not in good working condition can be donated through Cars, Inc. and proceeds designated to Andre House.

Donor Information

First Name*

Last Name*

Best Phone Number*

Email Address*

Vehicle information

Make*

Model*

Year*

VIN Number

How many miles are on it

Is the vehicle drivable?

Yes No

Description of vehicle

Submit

Contact Us
ORGANIZATION NAME
ORG ADDRESS LINE 1 ORG ADDRESS LINE 2
ORG CITY, ORG STATE ORG ZIP
ORG CONTACT PHONE

Thank you for considering Andre House for your vehicle donation. Someone will be in touch with you soon to discuss.