Vehicle Donation Form

Thank you for your interest in donating your vehicle to Mel Trotter Ministries. Please complete the following questions and we will contact you for the best time to schedule a pick up.

Personal Information
Name *
Address *
City *
State *
Zip Code *
Day Time Phone *
Evening Phone *
Email Address *
Year *
Make/Model *
Vehicle Color *
Approximate Mileage *
Is Vehicle Drivable? *
Are there any known problems? *
What is the estimated market value? *
Address of vehicle location: *
Where is the key/ title located? *
How did you hear about our program? *

To help prevent spam, please answer:
2 + 2 =
* = Required Field
# = Invalid Entry

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