DONATE YOUR USED VEHICLE

Please Fill Out the Following Form

Referral Source:    
First and Last Name:    
Address:    
(Location of the vehicle)    
City:    
State:    
Zip Code:    
Phone Number:    
Alternate Phone Number:    
Vehicle Information       
Year:    
Make:    
Model:    
License#:    
VIN#:    
Please Check All That Apply:     2-Door     4-Door    
Station Wagon  4-Wheel Drive
Does the vehicle run and drive as is?    
   
If No, Please explain below
Do you have the Title?    
    
If No, Please explain below
Problems with the vehicle:    
Engine
Transmission
Tires
Body
Other
None

Please briefly explain the problems with the vehicle:
Special Instructions:    

|Home| |About Us| |Missing Children| |Programs/Projects| |Publications| |Contact Us|
|Links| |How You can Help| |Events Calendar| |What's New?| |VCA Privacy Policy|  |Site Map|

Vanished Children's Alliance

991 W. Hedding Street., Suite 101
 San Jose, California   95126
Tel: (408) 296-1113
Fax: (408) 296-1117
1-800-VANISHED (sightings)
Copyright © 1999-2000 Vanished Children's Alliance. All rights reserved.
Revised: April 29, 2005
Contact Webmaster


To assist in bringing our missing child home, this site is hosted and supported by Affinity