CARS FOR COLORADO
ONLINE DONATION FORM

      Use this form to make your tax deductible donation.

 Cars for Colorado home                      Frequently asked questions

 

       You can maneuver through this form simply by using your tab key or left mouse button.

       NOTE: Pressing the enter key will submit the entire form.

1. Choose one of the following charities:

    

    If you wish to donate to a charity which is not listed,
    please enter the charity name here:

2. Please provide vehicle information:

                        Vehicle Year    
    Vehicle Make and Model   
                                  Color      
                               Mileage     
                               Actual? Yes No

3. Please provide the following contact information.

         Donor Name  
    Mailing Address
                      City   
                    State   
                       Zip   
        Main Phone    
  Alternate Phone  
           Cell Phone
                      Fax
                  E-mail

4. Location of the vehicle if not the same as above address?
       

5. Title Information
          Vin#    
         Title#   
    Control#   
   
    Title is issued by which State?
                     
   
    Is the title in the donor's name? Yes No
   
    Names as they appear on the Title?
       
   
    Do you still have an outstanding lien on your vehicle?
    Yes    No

6. Please check yes or no for the following questions to help us
    get the Vehicle Information needed to process this form.

    Does the vehicle run? Yes No

    If yes, is the vehicle drivable? Yes No

    Does the vehicle have keys? Yes No

    Is the body rusted or damaged? Yes No
    Describe:

    Is the interior damaged beyond normal wear and tear? Yes No

    Describe the interior condition.

    Does your vehicle have a radio, cassette or CD unit? Yes No

    Does the vehicle require any repairs? Yes No

    Has the vehicle ever been in an accident? Yes No
    If yes, describe:

    Are there any flat tires? Yes No

    If yes, will they hold air? Yes No

    Has the vehicle passed emissions within the past year? Yes No

    Do you require an emergency pick up? Yes No
    If yes, describe:

    Please use the box below for any further description of the vehicle and it's condition.
    

    Please note that the title and keys must be available when the tow company arrives
    to accept your vehicle. Your designated charity pays for your tow so please be ready
    for the tow company.

    Thank You.

    

           

Please note: Validation of some of these fields is required before the form can be successfully submitted.  If you receive an error message after clicking “Submit” please use your browser’s “Back” button to return to the form where you can reenter valid data in the fields that will be noted in the error message. The form fields will be reset if you click on the “Return to the form” link at the bottom of the error page. You will receive a confirmation when the form is successfully submitted.

    If you have problems submitting this form please contact us.

               

   

    Questions:

Sandra@CarsForColorado.com - General Manager

Roma@CarsForColorado.com

1-800-551-9041 or 303-853-4125

©Cars For Colorado 2003