Charity Connections - Vehicle Donation - Volunteers of America Oregon

Complete this form to donate your vehicle to a local organization.

About You
Name * Required
First Last
Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Home Phone * Required
Work Phone
Cell Phone
Email * Required
Alternate Pickup Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Pickup Instructions
Charity Partners
Which organization/program would you like to support with your donation?
Volunteers of America Oregon Program
Select one of our Partners
Where would you like to donate your vehicle?
About Your Vehicle
License Plate Number (Current or expired) * Required
License Plate State * Required
Is the title in your name? * Required
- Yes
- No
Title Number * Required
Title Notes
VIN * Required
Vehicle Identification Number
Vehicle Year * Required
Vehicle Body Style
Vehicle Make * Required
Vehicle Model * Required
Vehicle Color * Required
Mileage * Required
Do you have keys? * Required
- Yes
- No
Is the vehicle running? * Required
- Yes
- No
Does the vehicle have all tires? * Required
- Yes
- No
Vehicle Defects
Body Condition
Mechanical Condition
Interior Condition
Pickup Times
Please list two dates with 3 hour time windows in your schedule for pickup.
Option 1 - must be mm/dd/yyyy format * Required
Date Format: MM slash DD slash YYYY
Option 2 - must be mm/dd/yyyy format
Date Format: MM slash DD slash YYYY
Comments
CAPTCHA

Charity Connections – Vehicle Donation