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Online Utah Car Donation Form | TowKars

Online Car Donation

Note: All fields are required ---Do not print this form--- For a printable form, hit the back arrow and select the "Printable Donation Form" button
Your Contact Information




Please Note: this email address will be used to email you your official
tax receipt, and for all correspondence with the Kidney Foundation.
Your email address will not be shared or sold.
Vehicle Location/Pickup Information
Yes, Same as above

If not located at the above address, where is the Vehicle located? At the present time, only vehicles located within the state of Utah can be picked up.

If the Vehicle is located outside of the state of Utah please click here

 

Vehicle Title Information


  

 

 

Note: If you do not have a clear title, please call our
office 9-5 M-F at 1-800-869-5277. We can help you
apply for a replacement title (Utah titles only).
Condition of Vehicle

YesNo

  

Do you have the keys? YesNo

Does the vehicle have four inflated tires? YesNo

General Interior Condition: Excellent Good Fair Poor

General Exterior Condition: Excellent Good Fair Poor

Overall Vehicle Condition: Excellent Good Fair Poor

Does your vehicle have any major mechanical issues such as engine, transmission or is it wrecked? Yes No

If yes, please describe.

Does your vehicle have any missing parts? Yes No

If yes, please describe.

Does your vehicle have any body damage? Yes No

If yes, please describe.

Title Delivery
Title with Car
Title and vehicle picked up at the same time. The National Kidney Foundation of Utah & Idaho will call you to make appropriate arrangements.

Mail In Title
Mail title to the Kidney Foundation via postal service. The National Kidney Foundation of Utah will contact you for vehicle pick up after title is received.
Comments / Additional Instructions
How did you hear about us?
Please tell us how you learned of us.


How else did you hear about us? (Optional)



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