Angel PAWS
__________________________________________________
Vehicle/Vessel
Donation Form
* Please fax or email this completed form to 916-631-1328
or donation@carprogram.com
* The donor will be contacted within forty-eight hours
Date _______________________
Donor Name
_________________________________________________________________
Vehicle Location ______________________________________________________________
Phone #
___________________________
Alternate # ______________________________
Mailing Address (if different than above) ___________________________________________________
Vehicle/Vessel Information:
Year _________
Make __________________ Model
_______________________________
VIN/Hull # ______________________________________ License/CF # _______________
Odometer
______________ 2-Door
4-Door S/W 4WD
Convertible
Does the vehicle run and drive as
is right now? Yes No
If no, when was the last time the
car was driven? ________________________________________________________________
Mechanical
Condition ___________________________________________________________
Describe
Any Damage __________________________________________________________
Do you have the Title? Yes
No, explain _______________________________________
Special
Instructions:
__________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
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