Donate a Car to Charity Please fill out the form below to donate a car! Name(Required) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Middle Last Suffix Email PhonePhonePhoneAddress Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Business Name Business PhoneVehicle Year(Required)20192018201720162015201420132012201120102009200820072006200520042003200220012000Vehicle Make(Required) Vehicle Model(Required) Vehicle Color(Required) Numer of DoorsFirst ChoiceSecond ChoiceThird ChoiceCurrent Mileage(Required) Registration Yes No State Vehicle RegisteredAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificStateRegistration Expiration Date(Required) MM slash DD slash YYYY Why don't you have the Registratrion?Do You Have the Certificate of Title (Pink Slip)?(Required) Yes No Is the Vehicle in Running Condition?(Required)YesNoSometimesYes - before battery diedYes - but won't startWhy don't you have the Pink Slip?Vehicle Identification Number(Required) License Plate Number Describe Mechanical Issues, if anyDescribe Condition of BodyDescribe Condition of PaintDescribe Condition of InteriorTo Which Charity Would You Like to Donate Your Vehicle?A Leg Up RescueAbility Now Bay AreaAIDS Legal Referral Panel - ALRPAircraft Carrier Hornet Foundation (USS Hornet)Alameda Food BankAll Saints Episcopal ChurchAlzheimer's Services of the East BayAmerican Legion Post 237 PleasantonAnimal Rescue ReconBenicia Tree FoundationBerkeley HumaneBerkeley Public Library FoundationBORP (Bay Area Outreach & Recreaction Program)Breast Cancer ActionBrightHavenCalifornia SymphonyCaminar/Family and Children ServicesCancer CAREpointCancer Support Community (formerly The Wellness Community)Carondelet High SchoolCarquinez Model Railroad SocietyCarquinez VillageCASA (Court Appointed Special Advocates) - Alameda CountyCASA (Court Appointed Special Advocates) - Contra CostaCat Town OaklandCentral California SPCACentral City Hospitality HouseChabad of the East BayChallenge DayChild Abuse Prevention CouncilChildren's Skin Disease FoundationChoice In AgingChrist the King ParishCommunity Action Napa ValleyCommunity Concern for CatsCommunity Initiatives (Notate Specific Project in Comment Field)Compassion Without BordersContra Costa College FoundationContra Costa County Animal ServicesContra Costa County Guide Dog RaisersContra Costa Rabbit RescueDogs 4 DiabeticsDogwood Animal Rescue ProjectDown Syndrome Connection of the Bay AreaEarly Alert CaninesEast Bay Agency for Children/Circle of CareEast Bay InnovationsEast Bay Regional Park District/Regional Parks FoundationEnvironmental Forum of MarinEpiscopal Impact Fund (formerly Episcopal Charities)Family Bridges IncFeral Cat FoundationFlorence Douglas (Vallejo) Senior CenterFood Bank of Contra Costa and SolanoForget Me Not Farm Children's ServicesForgotten Felines of Sonoma CountyFred Finch Youth and Family ServicesFresno Wildlife Rescue and Rehabilitation ServiceFriends of Animal ServicesFriends of Contra Costa Animal SheltersFront Porch Communities Foundation (formerly Covia Foundation)Greyhound Friends for LifeH.A.L.O (Homeless Animals' Lifeline OrganizationH.A.R.P. (Homeless Animals Response Program)Habitot Children's MuseumHanna Boys CenterHead Royce SchoolHeffernan FoundationHillsdale High School FoundationHillside Covenant ChurchHome at Last Animal RescueHomeless Prenatal ProgramHospice of the East BayHumane Society of Sonoma CountyHumane Society of the North BayJCYCJohn Muir Land TrustLafayette Community Center FoundationLafayette Partners in EducationLafayette-Orinda Presbyterian ChurchLAPS - Loving Animals Providing SmilesLas Lomas High School Athletic BoostersLas Lomas Performing Arts FoundationLas Trampas School Inc.Legal Aid At WorkLifeLong Medical CareLindsay Wildlife ExperienceLoaves & Fishes of Contra Costa CountyLutheran Social Services - LSSMarin CASA -Court Appointed Special AdvocatesMarin HumaneMeals on Wheels of Alameda CountyMeals on Wheels of Contra CostaMeals on Wheels San FranciscoMicke Grove (San Joaquin County) Zoological SocietyMilo FoundationMonument Crisis CenterMt. Diablo Unitarian Universalist ChurchMuseum of Sonoma CountyMuttville Senior Dog RescueNapa Recovery Resource Center -Alano ClubNational Alliance for the Mentally Ill Contra Costa (NAMI Contra Costa)NEWS - Domestic Violence & Sexual Abuse ServicesNorCal Poodle RescueNorthCreek Academy and PreschoolNorthern California Sled Dog Rescue (NorSled)Northern California Weimarnaer RescueOakland Children's FairylandOpportunity HouseOptions HealthOrinda Community ChurchOrinda Community FoundationOrinda Parks and Recreation FoundationOur Savior Lutheran MinistriesPD ActivePiedmont Educational FoundationPillars of Hope, Inc.Planned Parenthood Northern CaliforniaPlant With PurposePlayworksPleasant Hill Elementary PTAPolly Klaas FoundationPomeroy Recreation and RehabilitationProject Open HandRainbow Community Center of Contra Costa CountyRebuilding Together PeninsulaRebuilding Together San FranciscoRed's Equines in Need SanctuaryResound EnsembleRichmond Community FoundationRidgebacks in Need CaliforniaRubicon ProgramsSafe & Sound (formerly San Francisco Child Abuse Prevention Center)Salesian Boys' and Girls' ClubSan Carlos Children's TheaterSan Francisco AIDS FoundationSan Francisco Girls ChorusSan Francisco Living Wage CoalitionSan Francisco Parks AllianceSan Francisco SPCASan Jose Public Library FoundationSanta Rosa Community Health CentersSave Mount DiabloSave the BaySF-Marin Food BankSFCASA (San Francisco Court Appointed Special Advocates)SHELTER Inc.SNAP CatsSPCA of Solano CountySt. Paul's Trinity CenterSunflower HillSweet Beginnings Family Resource CenterSWFCenter for Social JusticeTax-AidThe Respite InnThe Taylor HouseTony La Russa's Animal Rescue Foundation (ARF)Tri Valley HavenTri-Valley ConservancyU.S. War Dogs Association, Chptr 1UCSF Benioff Children's Hospitals FoundationValcore RecyclingVallejo Naval & Historical MuseumVistAbilityWalnut Creek Library FoundationWest Edge OperaWestern States Legal FoundationWomen's Center Youth and Family ServicesYWCA Monterey CountyIs the Vehicle Located at the Address Above?(Required) Yes No How did you hear about our car donation program? Notate the address where the vehicle is located Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Comments
