Midsouth Hope Garage Vehicle Contribution Form

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Please fill out this form if you are interested or desire to donate your vehicle to Midsouth Hope Garage. We are a registered 501c3 and all donations are tax deductible for their value. We are happy to answer questions at midsouthhopegarage@gmail.com. Thank you!

Email *

Date *

YYYY

Email *

Address *

Phone number *

Are you the title holder? *

Yes

Contributor name on title *

Address of contributor on title *

Vehicle Year, Make, Model *

Vehicle Color *

Mileage *

Vehicle VIN number *

Features that impact value *

Vehicle Body Condition *

Good

Bad

Fair

Engine condition *

Good

Bad

Fair

Kelley Blue Book Value (Good and Fair Market Value) *

If possible, please email photos to joanna@midsouthhopegarage.org *

Yes

How did you hear about MHG? *

A copy of your responses will be emailed to the address you provided.

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