CARS Ministry Donation Form

Donate your Vehicle

Cars Ministry Donation Form

Name

First

Last

Address

City

State/Province

Zip/Postal

Country

Email

Phone

Name of Title Holder

If Different than Donor Name

Year

Make

Model

VIN

Mileage

Does the vehicle run/drive as is?

Yes

No

Estimated Value

Please describe engine issue(s):

Please describe transmission issue(s):

Please describe tire/suspension issue(s):

Please describe body issue(s):

Please describe other issue(s):

Are you a member of Harvest Bible Chapel?

Yes

No

If you are human, leave this field blank.