Angel PAWS

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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 ______________________________________________________________

 

City  _______________________________________  State  _______  Zip  _______________

 

Phone #  ___________________________  Alternate #  ______________________________

 

Mailing Address (if different than above) ___________________________________________________

 

City  _______________________________________  State  _______  Zip  _______________

 

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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Car Program Inc. 3755 Omec Circle Unit #4 Rancho Cordova, CA 95742

tel (800) 513-6560  |  fax (916) 631-4336  |  info@carprogram.com