Vehicle Donation Form
Donate your car to Border Collie Rescue of Northern California, Inc.
Please use the following form to donate your car, boat or RV. We will have one of our volunteers contact you to arrange a time to pick up your donation.
If you have any questions you would like answered prior to initiating the donation process, please email
tld4now@aol.com
* required fields
Your Information:
*
First Name:
*
Last Name:
*
Day Phone:
*
Evening Phone:
E-mail:
*
Type of Donation:
car
truck
van
RV
Boat with trailer
Vehicle Location:
*
Address:
*
City:
*
State:
*
Zip:
Vehicle Information:
*
Year:
*
Model:
(Toyota)
*
Make:
(Camry)
*
Color:
*
Odometer:
*
License Plate:
*
Vehicle Identification Number (VIN):
*
Does the vehicle run/drive?
YES
NO
*
Do you have the Certificate of Title?
YES
NO
*
Is the vehicle currently registered?
YES
NO
Special instructions or other comments?