Charity selected to receive proceeds: Bright Futures Farm
You may use this easy online form to donate your car, truck, boat, trailer or RV. If you have any questions you would like answered previous to initiating the donation process, please feel free to call Car Program, LLC toll-free at 1-800-237-5714 seven days a week.
Please fax your completed form to Car Program, LLC at 916-631-4336
Donor Information:
First Name: ________________________
Last Name: ________________________
Address: __________________________
City: _____________________________
State: ___________ Zip: ____________
Phone: ( )- ____-___________
Alternate phone: ( ) - ____-___________
E-mail: ____________________________
Vehicle Location:
Is Vehicle Location the same as Donor address above? _______
If no, please list location of vehicle:
Address: ______________________________________
City: _________________________________________
State: _____________ Zip: ______________________
Vehicle Information:
Year: _______________
Make: ______________
Model: ______________
License Plate: ___________________
VIN: __________________________
DAMAGE TO BODY ( DESCRIBE):
DAMAGE TO INTERIOR (DESCRIBE):
IS YOUR VEHICLE DRIVEABLE “AS IS”?_____ IF NOT, PLEASE EXPLAIN:
DO YOU HAVE THE CERTIFICATE OF TITLE? _____IF NOT, PLEASE EXPLAIN:
SPECIAL INSTRUCTIONS OR OTHER COMMENTS:
Thank you
From Bright Futures Farm (www.brightfuturesfarm.org)
&
Car Program, LLC
3755 Omec Circle #4, Rancho Cordova, CA 95742