NorthWest Charity Donation Service

1-800-961-6119
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DONATE   |  CALL 1-800-961-6119   ASK A QUESTION

 
 ONLINE VEHICLE DONATION FORM

NORTHWEST CHARITY DONATION SERVICE

Please complete the form to the best of your ability and then click "SUBMIT". Don't hesitate to contact us directly at 1-800-961-6119 if you need help or have any questions!

To WHICH CHARITY do you wish to donate?
 (REQUIRED) 
How did you hear about NWCDS?
 (REQUIRED) 
If you selected OTHER, please specify here

DONOR'S CONTACT INFORMATION:
Donor FIRST Name
  (REQUIRED)
Donor LAST Name
(REQUIRED)
Donor MAILING Address Street1
(REQUIRED)
Donor CITY
(REQUIRED)
Donor STATE  (REQUIRED)
Donor ZIP code
(REQUIRED)
Donor Daytime Phone  (REQUIRED) 
Donor Alternate Phone
Donor Email  (RECOMMENDED)
Best time for us to contact you?  (RECOMMENDED)

DONOR'S VEHICLE DONATION INFORMATION:
Vehicle YEAR  (REQUIRED) 
Vehicle MAKE  (REQUIRED) 
Vehicle MODEL  (REQUIRED) 
Vehicle Engine Size/Type. (If donating a boat.)
Number of Doors Vehicle has  (REQUIRED)
Vehicle COLOR(s)  (REQUIRED) 
Vehicle MILEAGE (odometer reading)
Vehicle License Plate #
Vehicle Identification Number (VIN) on title & registration
Do you have the vehicle title and keys?    (REQUIRED)
If you selected NO, please explain
Does the vehicle run?  (REQUIRED) 
If vehicle does not run, please explain
Describe condition of vehicle including any damage  

NOTE: If your vehicle's physical location is different from your address above, please enter vehicle address location below:
Vehicle's Physical Street Address
Vehicle is located in what city?
Vehicle is located in what state?
Vehicle location ZIP code?

Please review your information then click

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