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?    Yes    No

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?

* indicates required field