CAR DONATION FORM

It is easy to submit your vehicle donation information online. Simply complete the form below and someone will contact you within one business day to arrange for the vehicle pick-up. If you require a more immediate response, please feel free to contact Tim Lynch, Vehicle Processor at 860.218.2970, ext 3#. All donations qualify for a tax deduction, some may even qualify for fair market value - the highest deduction allowable under current IRS regulations. Visit our tax advantages page to learn more. All vehicle donations to Family Resources Community Action are powered by transMISSIONs, The Good News Garage Vehicle Donation Alliance.

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* denotes a required field
First Name*:
Last Name*:
Street Address*:
City*:
State*:
Zip Code:
Daytime Phone Number:	() -Second partThird part
Evening Phone Number:	() -Second partThird part
Email Address*:
Year*:
Mileage (Comments not needed)*:
Make*:
Model*:
Color*:
Transmission Type*:	Automatic Manual
Is the vehicle driveable?*:	Yes No
Do you possess a valid title?*:	Yes No
Can you deliver the vehicle?*:	Yes No
How did you hear about our car donation program?:
Describe the general condition of the car, any known repairs needed and any additional comments.*: