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? Select a VOA Oregon Program or one of our Community Partners.
Volunteers of America Oregon Program
Volunteers of America Oregon Programs
Community Partners
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
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Charity Connections – Vehicle Donation