Charitable Adult Rides & Services, a 501 (c)(3) nonprofit
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1-844-688-4483
Donation Form
First Name
*
Last Name
*
Primary Phone
*
Email Address
Country
Canada
United States
Company
Street
Street Cont.
City
State/Province
Zip/Postal Code
Alternative Phone
Cell Phone
VIN
Vehicle Type
Airplane
ATV
Boat
Boat Trailer
Bus
Camper Shell
Camper Trailer
Car
Flatbed
Forklift
Golf Cart
Jet Ski
Kayak
Motorcycle
Motorhome
Motorized Wheelchair
Other
Pop Up Trailer
Riding Lawnmower
RV
Scooter
Snowblower
Snowmobile
Tractor
Trailer
Travel Trailer
Truck
Year
Make
Model
Additional Info
Miles
License
License Exp. Date
Vehicle Registered in
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
Alabama
Alaska
Arizona
Arkansas
Armed Forces
Armed Forces America
Armed Forces Pacific
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
Is Title Clear?
Yes
No
Name on Title
ID # on Title
Color
Black
Blue
Brown
Gold
Green
Grey
Orange
Purple
Red
Silver
Tan
Unknown
White
Yellow
Condition
Cranks, won’t start
Doesn’t Run / Can be Moved
Doesn’t Run / Doesn’t Move
Runs / Doesn’t Move
Runs & Drives
Runs & Moves / Don’t Drive
Unknown
Repairs Required
Missing Parts
Body or Paint Damage
Baseball-sized or Larger Damage*
Loose or Missing Panels*
Major Damage*
Normal Wear & Tear (all body panels intact & attached)
Some Mirrors, Glass, or Lights are Cracked/Missing
Unknown
Interior Damage
Damaged or Removed Parts (notes required)
Normal Wear & Tear (all interior intact & attached)
Unknown
Engine Condition
Major Malfunction / Still Installed
Minor Issues / Still Functional
Missing
Operational
Rebuilt/Replaced
Removed
Unknown
Transmission Condition
Major Malfunction / Still Installed
Minor Issues / Still Functional
Missing
Operational
Rebuilt/Replaced
Removed
Unknown
Tire Condition
1 or More Tires are Flat*
1 or More Wheels are Removed*
All Wheels Mounted & Tires Inflated
Major Malfunction / Still Installed
Missing
Removed
Unknown
Other Damage
Air Bag(s) Deployed
Fire Damage
Flood Damage
Mold
Other*
Severe Undercarriage Rust
Won’t Pass Smog/State Inspection
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After you submit your donation, someone from our team will contact you to finalize the donation.