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  "What children with cancer and their loved ones always need to remember is that hope can spread faster than cancer. Hope is real." — Barbara Reid, CLF Founder "Hope is like the sun, which, as we journey towards it, casts the shadow of our burdens behind us." — Samuel Smiles "Hope smiles on the beginning of the year to come, whispering that it will be happier." — Alfred Lord Tennyson  
 
 
Automobile Donation Form

Please use this form to donate your car or truck. If you have any questions you would like answered previous to initiating the donation process, please feel free to email or call toll free at 1-877-7KIDCAR.

*denotes required fields

Donor Information:
* First Name:  * Last Name: 
* Street Address:  * City: 
* State:  * Zip Code: 
* Phone:  * Email: 
Vehicle Location:
Check here if vehicle location is same as Donor address above: 
Street Address:  City: 
State:  Zip Code: 
Vehicle Information
Year:  Make: 
Model:  License Plate: 
VIN:"(if your VIN is more than 17 digits long, remove the first character. If unknown, just leave blank)  
* How did you hear about the program?
Body Condition (Describe): 
Interior Condition (Describe): 
Vehicle driveable? Please explain: 
Do you have Certificate of Title? 
Special Instructions or Comments: 
 
 
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