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Vehicle Donation Form

By Philip Bailey
Vehicle Donations
* Required
First Name *
Last Name *
Email Address *
 
Address Line 1 *

Address Line 2

City *
State *
Zip Code *
 
Area Code
Phone Number
Home Phone *
Fax Phone
Work Phone
  Ext:
How Did You Learn About Our Organization?
 Radio
 Ad
 Church
 Friend
 TC Graduate
 Other

Vehicle Information
Type of Vehicle *
 Car
 Van
 Truck
 Other

Year: *
Make: *
Model: *
Color:
License Plate Number: *
VIN Number: *
Is the vehicle;s Title in your name? *
 Yes
 No

Pink Slip/Title? *
 Yes
 No

Salvage Title? *
 Yes
 No

Lien Papers? *
 Yes
 No

Complete with tires/ wheels/ engine transmission? *
 Yes
 No

Any flat tires? *
 Yes
 No

Has the vehicle been in an accident/burned/ flood? *
 Yes
 No
 Do not Know

Body Damage? *
Has all trash and personal belongings been removed?
 Yes
 No

Does vehicle start? *
 Yes
 No

Does vehicle have keys? *
 Yes
 No

Please fill out as much information as possible



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    Online Forms

    Vehicle Donations(form)
     By donating your vehicle, you will be raising funds to promote community awareness in the fight against drug abuse and gang violence in our community. For more information, call toll free at (888) 339-3193.

    Work Study(form)
    Have a project you're working on? Need some extra hands? We are here to help! Work Studies include house cleaning, yard work, construction, remodeling, event serving and more. For more information, call toll free at (888) 339-3193



    Vehicle Donation

    Vehicle Donations
    Why sell your vehicle when you can donate it to Teen Challenge Northern California & Nevada for a tax-deductible receipt?  By donating to Teen Challenge, you will be raising funds to promote community awareness in the fight against drug abuse and gang violence in our community. For more information, call toll free at (888) 339-3193.

    CLICK HERE TO FILL OUT THE VEHICLE DONATION FORM (Auto Donation Form )

     



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