Animal Place - Vehicle Donation Program Form

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Vehicle Donation Program Form

Print and fill out the form below to donate your car to Animal Place. Because this is a frame, you will need to click anywhere in the form then choose File | Print Frame (in Netscape). Then:

call us at 707.449.4814
fax the filled out form to us at 707.449.8775
or mail the filled out form to us at:
PO Box 5910
Vacaville CA 95696-5910

To learn more about this program, click here.

Animal Place Vehicle Donation Pick-Up Request Form
Date
Name
Address
City		State		ZIP code
Telephone
Vehicle information:
Year		Make		Model
License # (CA only)		VIN
Check all that apply:	2-door 4-door Station wagon 4 wheel drive (type the letter "x" in the appropriate box):
Does the vehicle run and drive as is? Yes No, explain
Do you have title? Yes No, explain
Problems (explain for any that apply):
None
Engine:
Transmission:
Tires:
Tires:
Body:
Other:
Special instructions:

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