Minnesota Vietnam Veteran's Charity • Vehicle Donation Program

Vehicle Donation Form

Please fill out the form as completely as possible. We'll be in touch within two business days to arrange for the pickup of your vehicle. You will receive an email from us with further instructions and helpful tips on the preparation of your vehicle. Here is what you need to prepare your car for pickup:

Title
Keys

We'll answer any other questions for you when we call.

Name *
E-mail Address *
Daytime Phone *
Evening Phone
Cell Phone
Alternate Phone
Fax Number
Address 1 *
Address 2
City *
State *
Zip *
Year of Vehicle *
Vehicle Manufacturer *
Vehicle Model *
Best time to call
I prefer to be contacted by *	Daytime Phone Evening Phone Cell Phone Email Fax
Where did you hear about us?	Yahoo Google Star Tribune Pioneer Press Word of Mouth Previous Donor Other

* Fields marked with an asterisk are required fields

I have read and agree to the Privacy Policy (Opens in a new window)

We are completely compliant with the can SPAM Act. Your information will never be used for anything except the handling of your car donation. We will never sell or share this information and want to assure you that your information will be handled securely. Please give us a call if you don't wish to supply your email. We'll be glad to take your information by phone.