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Donor's Information
Tax receipt will be issued to the name listed in this section
Name must match the vehicle registration
First Name
(or Company Name)
Last Name
Street Address
City or Town
Province
Postal Code
Phone
Phone Other
Email Address
Confirm Email Address
 

Vehicle Information
Year (4 digits)
Make
Model
Color
Serial Number
(17 characters)
Odometer
Please check all that apply.
Vehicle Condition
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Misc
 
 
 
 
Please Select One:
Please provide any extra information to assist us in determining whether your vehicle should be recycled, or auctioned.
Missing Parts - Please list all major parts that are missing from the vehicle (for example: engine, tires, doors, catalytic converter).
 

 

  
 
 

 

This vehicle donation program
is facilitated By Donate a Car Canada