Car Donation Program

* required information
 
Contact Information
You will be contacted by Vehicles for Charity within 2 business days of submitting this form.
Title:
First Name:*
Last Name:*
Address Line 1:*
Address Line 2:
City:*
State:*
ZIP/Postal Code:*
Email:*
Phone:*
Business Phone:
Cell Phone:
How did you hear about us?:
If other, please enter how you heard about us:
Additional Information
If vehicle/vessel location is not at the address above, please list street address, city, state and zip code in the box:
Vehicle/Vessel Year:
Vehicle/Vessel Make:
Vehicle/Vessel Model:
VIN/Hull #:
License/CF #:
Please check all characteristics that apply to your vehicle.: 2-door
4-door
Hatchback
Station Wagon
SUV
Pickup Truck
Convertible
4WD
Does the vehicle run and drive as it is right now?: Yes
No
If no, when was the last time the vehicle was driven?:
Do you have the title?: Yes
No
If no, please explain:
Please describe the mechanical condition of the vehicle/vessel.:
Please describe any damage to the vehicle/vessel.:
Special instructions:
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For more information, contact Vehicles for Charity at 1-866-628-2277 or via email: cars@arcthrift.com. Vehicles for Charity, a division of Arc Thrift Stores, Inc., processes auto donations for CT Humane Society.
        

Car Donation Program

Connecticut Humane Society

701 Russell Road, Newington, CT 06111
800-452-0114 | FAX 860-665-1478   info@cthumane.org 
The Connecticut Humane Society is a 501(c)(3)
non-profit organization. EIN: 06-0667605
Copyright 2013 Connecticut Humane Society

Copyright 2013 Connecticut Humane Society