TACOMA RESCUE MISSION: CAR DONATION FORM

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Is the vehicle located at this address? *

If it is at a different address, where is the vehicle located?

Email Address *

Phone Number *

Year of Vehicle *

Make of Vehicle *

Model of vehicle *

Color of vehicle *

Do you have a title for the vehicle *

Does the vehicle run? *

Mechanically, what condition is the vehicle in? *

Are there any mechanical or cosmetic problems with the vehicle? If yes, please list below. If no, please answer no. *

If you'd like to include pictures of the vehicle, please do so here.