When you donate your car, you receive either:

Donate Your Car or Truck in California

Thank you for donating your vehicle to Cars Fighting Cancer. To donate your vehicle simply complete this very easy and secure online form or call us toll-free at 1-888-950-CURE (2873) and one of our friendly and experienced staff will walk you through the car donation process.

Once you have completed the donation process, one of our professional towing companies will contact you to schedule a convenient date to pick-up your vehicle.

Upon pickup, the towing company will leave you a tow receipt showing that your vehicle was picked-up on behalf of Cars Fighting Cancer. Once we are in possession of your donated vehicle, signed title, and keys, you will be sent your free gift. We will email you your IRS tax-deductible donation receipt in approximately 15 business days.

Car Donation centers located in:

Again, thank you in advance for joining the fight and donating your vehicle to Cars Fighting Cancer.

Contact Information

Mr.  Ms.

First Name

Last Name

Daytime Phone:   Home Work Cell (area) (###) (####) ext. Enter a valid area code. Enter a valid middle 3 digits. Enter a valid last 4 digits.

Alternate Phone:   Home Work Cell (area) (###) (####) ext. Enter a valid area code. Enter a valid middle 3 digits. Enter a valid last 4 digits.

Email Address	Confirm Email Address
Street Address	Apt. / Suite
City	State Select state: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Other	Zip

Is the car located at the above address?

Yes   No Same address?

Pick-up Address	Apt. / Suite
City	State Select state: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico California North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Other	Zip

Are you donating in honor or memory of a loved one?

Yes   No Please answer this question.

Loved One's Name

Select your free gift below:	Terms and Conditions Visa Gift Card Use your $30 Visa gift card wherever you see the Visa emblem. Terms and Conditions iPod Shuffle Options Engraving?   Yes   No Line 1 (30 characters) Color:                                 I would like to have this gift shipped to a different address: Yes   No
$30 Visa Gift Card Apple iPod Shuffle No thank you. Please use the additional funds to Help Fight Cancer.

Gift Address	Apt. / Suite
City	State Select state: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico California North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Other	Zip

How did you hear about the Cars Fighting Cancer Car Donation Program?

Vehicle Information

Year	Make	Model
Color	Vehicle Type 2 Door 4 Door Other	Drivetrain 2 Wheel Drive 4 Wheel Drive
VIN (if available)	Mileage (if known)	Name on Title

Title Available?	Yes	No		Running?	Yes	No
Can drive 20 miles?	Yes	No		Body Condition:	Good	Fair	Poor

Mechanical Condition (check all that apply) Runs and Drives - No Major Problems Runs with a jump Needs transmission work Needs alternator/starter Needs fuel pump Motor knocking Electrical problems Overheating Exhaust problems Head gaskets problems Will not start, problem unknown Other - please specify in next field	Mechanical Needs (max 200 characters)
	Other Comments (max 200 characters)

When finished, click "Submit" to complete your vehicle donation