Car Donation

Make a Difference

Why Donate a Car

Donation Process

FAQ

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Other Donations


*Tax Deductable *Quick Free Pick-Up 
*No Paperwork Hassle *Good Deed

Have question or problem,
please call 310-642-0006 x120

Donation Form (Items with * are required)

First Name: *
Last Name :*
Address 1 :*
Address 2:
City: *
County:
State: *  
Zip: *
Phone: *
Second Phone:
Best Time to Call:
Email: *
Comments:
Additional Information
About Your Vehicle


To help us process your donation, please provide the information below.
Year of Vehicle:
Make of Vehicle:
Model:

Vehicle Type: Car
Truck
Boat
Motor home
Trailer

Vehicle Specifics: 2 Door
3 Door
4 Door

Cylinders: 4 Cylinder
6 Cylinder 
8 Cylinder   

License Plate Number:
VIN:
Vehicle Mileage:
Is the Vehicle Drivable? Yes  No
Does the Vehicle Start? Yes  No
Vehicle Complete? Yes  No
Vehicle Color:
Title State:
Pink Slip/Title Available: Yes  No
Keys Available: Yes  No
Flat Tires: Yes  No
Damage:
Condition Statement/Other Info:
SPAM REDUCTION CODE:
Please enter 642 in the box above.


Islamic Outreach Services, A HADI Project, P. O. Box 4598, Culver City, CA 90231, U.S.A.
Tax ID# 95-4348674. All donations are tax-deductible.