Donation Form
Please use the following form to donate your car, boat or RV. Our towing company and our customer service department will contact you within one business day at the latest.
If you have any questions you would like answered prior to initiating the donation process, please email us instead of using this form. Or, if you would like to speak to a customer service representative, please feel free to call us at 661/253-8082.
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* First Name:
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* Last Name:
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* Day Phone:
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* Evening Phone:
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E-mail:
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* Type of Donation:
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Please donate to:
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Vehicle Location:
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* Address:
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* City:
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* State:
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* Zip:
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Vehicle Information:
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* Year:
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* Make:
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(Toyota) |
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* Model:
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(Camry) |
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* Color:
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* Odometer:
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* License Plate:
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* Vehicle Identification Number (VIN):
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* Does the vehicle run/drive?
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YES NO |
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* Do you have the Certificate of Title?
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YES NO |
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* Is the vehicle currently registered?
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YES NO |
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Special instructions or other comments?
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You should hear from us within 24 hours. If you have any difficulty with this form or wish to speak with a Health Foundation representative, please call us 661/253-8082.
THANK YOU FOR YOUR DONATION
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Valencia, CA 91355