Cars / Trucks / RV's / Construction Equipment Donation Form

Cars For Cancer will pick up your donation Free of charge. Its easy to be a Hero and Everyone Wins with Cars For Cancer. The donation of your Auto, Truck, Boat, and RV will save you the expense of advertising it for sale, the time involved dealing with potential buyers and strangers coming to your home. Boat and RV owners please note: All insurance, maintenance and storage will be assumed by the charity following your donation. We will provide the necessary IRS forms.

Donor Information:

First:		Last:
Address:		City:
State:		Zip:
Day Ph.		Night Ph.
Fax #:		Email:

Vehicle Location:
If different from above, please include:

Contact person:

Address:

City:

State:

Zip:

Phone #:

Fax #:

Vehicle Information:

Vehicle Year:

Make:

Model:

Style:

Odometer Reading:

Color:

VIN#:

Title#:

Is the car in running condition?
Yes No

Comments:

Connor Moran Children's
Cancer Foundation's
Cars For Cancer
Tax ID # 65-0374021

email: info@carsforcancer.org