How To Help

Cars For Kids

Tell Us About Your Vehicle
Year:
Make:
Model:
Approx. Mileage:
Car Color:
Vehicle Identification Number (VIN):
 
Is your vehicle drivable: (mechanically street legal and can make at least a 50-mile trip.)

Yes
No
Please describe the condition of your vehicle with respect to the following areas
Mechanical Condition:
Exterior/Interior Condition:
 
Notes about Pick-Up:
Do you have a clear title on your vehicle:
  (A clear title is required)

Yes
No
Is there a lien (e.g. the name of a bank) on the front of the title under your name:
 
Yes
No
If so, do you have a notarized lien release:
 
Yes
No
Tell Us About Yourself
Title:
First Name:
Last Name:
If Applicable, First Name of Spouse:
 
Spouses Last Name: (if different)
Address:
City:
State:
Zip Code:
Phone:
Alternate Phone:
Email:
What is your gender:
Female
Male
If you attend church, what church do you attend:
 
What is your age range:
18-25
26-45
46-65
66+
How did you hear about Cars for Kids:
 
I saw it on TV
I heard it on the radio
I saw it in print
Word of Mouth
I have donated a car before
Mailing I Received
Other
If Other, Please Describe: