Any Soldier Inc. Vehicle Donation Form

Vehicle Donation Form
Items in RED are required.

Car Program LLC. has processed over 500,000 car donations for hundreds of charities since 1992 - making them America's #1 choice for donating your car!

They can take almost anything; cars, trucks, boats, motorcycles, jet skies, trailers, tractors sometimes, RV’s, fifth wheels, as long as the motor vehicle has all wheels and tires inflated and the engine / transmission are put together. It does not have to be running.

They will make arrangements to conveniently and quickly pick-up your vehicle donation at no cost to you. They handle the title transfer requirements and provide you with a tax deductible donation receipt at the time of pick-up!

Have any questions?
Call them seven days a week at (877) 636-2107 or email Kusaba@carprogram.com.

To get your car donation rolling now, fill out this form and click the 'send' button. You will be contacted within four business days at the latest.

Today is: 20 August 2008

Donor's Information:
Name:
Address:
City:	State: Zip:
Phone #:	Alternate #:
Email:
Vehicle Location (If different than above):
Address:
City:	State: Zip:
Vehicle Information:
Year:	Make: Model:
VIN:	License #:
	Please check all that apply: 2-Door 4-Door Station-Wagon 4-Wheel-Drive Other
	Does the vehicle run and drive as is? Yes No, explain:
	Do you have the Title? Yes No, explain:
Please note any problems/damage:
Engine:
Trans:
Tires:
Body:
Other:
Special Instructions:

Car Program LLC * 3755 Omec Circle Unit #4 * Rancho Cordova * CA 95742
tel (800) 513-6560 * fax (916) 631-1328 * Kusaba@carprogram.com