LTSC's Vehicle Donation Form
DONOR INFORMATION
Current owner of vehicle
First Name
Last Name
Address, City, State, Zip
Phone Number *
Email Address *
CONTACT PERSON
If different from Donor
Contact First Name
Contact Last Name
Contact Phone Number
VEHICLE INFORMATION
Enter any information known
Year
Make
Model
License Plate
VIN
Condition of Vehicle
Do you have the title?
Location of Vehicle
If different from above
Additional Notes
How did you hear about LTSC's vehicle donation program?
Check all that apply
Other
Submit
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This form was created inside of Little Tokyo Service Center.