Car Donation Form

(Also relevant to boat, RV, truck, SUV, and motorcycle)

Upon receipt of your completed form, you will be contacted by our staff within 24 hours of the next business day. If you have questions about completing the form below, please call us at: (877) 431 9474

Your Information

Name: Phone Number: Email:^{(Optional, but aids communication)}

Pickup Address

Address: Address 2: City:

State: State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware D.C. Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip:

Mailing Address

Mail receipt to pickup address: If this is checked we will mail your tax deductible receipt to the pickup address.

Mail Address: Mail Address 2: Mail City:

State: State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware D.C. Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Mail Zip:

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Thank you! The "skip to end" button below will finish submitting your donation at any time! Information beyond this point is optional, but appreciated.

I would like to donate my:

Year (estimate if unsure): Make: Model: Miles (estimate if unsure): Color:

Mechanical Issues:

Mechanical Issues: Does it run and drive? Yes No Do you have title? (not always needed, if unsure leave blank) -- Yes No

I Want My Donation To Benefit:

- Change

My local Make-A-Wish Foundation® Alabama - Make-A-Wish Foundation® of Georgia and AlabamaAlaska - Make-A-Wish Foundation® of Alaska & Washington ChapterArizona - Make-A-Wish Foundation® of ArizonaCalifornia - Greater Bay Area Make-A-Wish Foundation®California - Make-A-Wish Foundation® of Greater Los AngelesCalifornia - Make-A-Wish Foundation® of Orange County & the Inland EmpireCalifornia - Make-A-Wish Foundation® of San DiegoColorado - Make-A-Wish Foundation® of ColoradoConnecticut - Make-A-Wish Foundation® of ConnecticutDelaware - Make-A-Wish Foundation® of the Mid-AtlanticDistrict of Columbia - Make-A-Wish Foundation® of the Mid-AtlanticFlorida - Make-A-Wish Foundation® of Central and Northern FloridaFlorida - Make-A-Wish Foundation® of Southern FloridaGeorgia - Make-A-Wish Foundation® of Georgia and AlabamaHawaii - Make-A-Wish Foundation® of HawaiiIllinois - Make-A-Wish Foundation® of IllinoisIndiana - Make-A-Wish Foundation® of Ohio, Kentucky, & IndianaIowa - Make-A-Wish Foundation® of IowaKentucky - Make-A-Wish Foundation® of Ohio, Kentucky, & IndianaLouisiana - Make-A-Wish Foundation® of Texas Gulf Coast & LouisianaMaryland - Make-A-Wish Foundation® of the Mid-AtlanticMassachusetts - Make-A-Wish Foundation® of Massachusetts and Rhode IslandMichigan - Make-A-Wish Foundation® of MichiganMinnesota - Make-A-Wish Foundation® of MinnesotaMissouri - Make-A-Wish Foundation® of MissouriMontana - Make-A-Wish Foundation® of MontanaNevada - Make-A-Wish Foundation® of Southern NevadaNew Jersey - Make-A-Wish Foundation® of New JerseyNew Mexico - Make-A-Wish Foundation® of New MexicoNew York - Make-A-Wish Foundation® of the Hudson ValleyNew York - Make-A-Wish Foundation® of Metro New YorkNew York - Make-A-Wish Foundation® of Suffolk CountyNew York - Make-A-Wish Foundation® of Western New YorkOhio - Make-A-Wish Foundation® of Ohio, Kentucky, & IndianaPennsylvania - Make-A-Wish Foundation® of Greater Pennsylvania and Southern West VirginiaPennsylvania - Make-A-Wish Foundation® of Philadelphia & Susquehanna ValleyRhode Island - Make-A-Wish Foundation® of Massachusetts and Rhode IslandSouth Dakota - Make-A-Wish Foundation® of South DakotaTexas - Make-A-Wish Foundation® of Central and South TexasTexas - Make-A-Wish Foundation® of North TexasTexas - Make-A-Wish Foundation® of Texas Gulf Coast & LouisianaUtah - Make-A-Wish Foundation® of UtahVirginia - Make-A-Wish Foundation® of the Mid-AtlanticWashington - Make-A-Wish Foundation® of Alaska & Washington ChapterWest Virginia - Make-A-Wish Foundation® of Greater Pennsylvania and Southern West VirginiaWisconsin - Make-A-Wish Foundation® of Wisconsin

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Final:

Our "Wish kids" appreciate your generous donation. Will you please tell us how you heard about our donation program? -- Make-A-Wish Foundation Chapter Search Engine Newspaper Link From Another Site Billboard Somewhere on the Internet Word of Mouth Other Best Phone #: Best time to call: Any additional notes to add to your donation?

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Thank you!

EVERY CAR DONATED GOES TO HELPING CHILDREN IN YOUR AREA, AND GENEROUS DONORS LIKE YOU ARE WHAT MAKE THIS POSSIBLE.

One of our representatives will get back to you shortly. Until that happens, there are two simple questions that can help us make the experience better for all of our donors. Please take a moment and let us know how we can improve.

1. Is there anything we could have done to make the donation process easier, or any information you were looking for that you didn't find?

2. What made you choose us for donating your car?

May we share part or all of these comments?

Yes:

No:

We appreciate your time and thank you again for your generosity!

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Our car donation program takes every car, boat (with trailer), RV, truck, SUV, or motorcycle, whether running or not. The sale of your vehicle directly benefits your local Make-A-Wish Foundation®. Wheels For Wishes is a tax-exempt 501(c)(3) charity who works with your local Make-A-Wish Foundation to help them accept vehicle donations. We offer free pickup or towing and will issue a tax deductible receipt in relation to your vehicle donation.