Vehicle Donation Form
  • Thank you so much for donating your vehicle to Working Wheels! 
  • Your answers on this form will help our mechanics as they inspect your vehicle and determine its best use. 
  • After we receive your form, we will contact you to follow up and make arrangements to sign your title over and bring the car to Working Wheels. Due to an increase in our vehicle donation program, there may be some delay in the availability of donation appointments and of vehicle tows. We appreciate your understanding and your patience.
  • Any questions? Please contact Leslie, our Vehicle Donation Coordinator, at 828-633-6888 or donate@workingwheelswnc.org. 
Sign in to Google to save your progress. Learn more
Donor Information
Full Name of Donor(s) *
Mailing Address *
Best Contact Phone Number *
XXX-XXX-XXXX
Email *
Would you like to receive our email newsletter? We share good news from Working Wheels about once a month. *
How did you hear about us?
Is the vehicle titled in NC? If not, please list title state. *
Owners name(s) exactly as listed on the title:
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Working Wheels.

Does this form look suspicious? Report