Vehicle Donation Form
Did you know?
- It's EASY, FREE, TAX DEDUCTIBLE, ECO FRIENDLY and for a GREAT CAUSE!
- Vehicles are accepted in any condition.
- Pick-up is arranged and available anywhere in the U.S.
Steps to Car Donation:
1. Fill out this vehicle donation form.
2. You will be contacted to arrange a pick up.
3. We send you a receipt for your taxes. when the car gets sold.
Questions: Call A3M at (213) 625-2802
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Address, City, State, Zip
If different from Donor
Contact First Name
Contact Last Name
Contact Phone Number
Enter any information known
Condition of Vehicle
Do you have the title?
Location of Vehicle
If different from above
How did you hear about A3M's vehicle donation program?
Check all that apply.
Other (please list below)
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This form was created inside of Little Tokyo Service Center.