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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DONOR INFORMATION
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 A3M's vehicle donation program?
Check all that apply.
Other
Submit
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