Brock Auto Parts Charity Car Program

Brock Auto Parts
 

Family run business for over 50 years. All parts are guaranteed!We are proud to practice environmentally sound processes when dismantling and recycling our vehicles.

Brock Auto Parts Vehicle Donation Form

Owner Information Section
Name * State *
Address on Ownership *   Zip Code *
City *   Phone Number *
Cell Number   Email *

Donating Your vehicle?
 Yes, I want to donate my vehicle.  
Or Choose your own favorite Registered Charity:
Please type the name of the Licensed Charity, if not above.

Vehicle Information Section

Year   Make
Model   Mileage
Licence Plate   VIN #
Location of vehicle if different than the address above.
Condition of vehicle   Comments about vehicle
There are no liens / loans outstanding against this vehicle.   I do have the ownership / title to transfer to the Authorized Treatment Facility.
 

Our partner Green Vehicle Disposal is North America's largest network of self-regulated Auto Recycling Facilities. Our Purpose is to provide our valued customers, with an Eco-Friendly solution for the disposal of old vehicles. All vehicles donated through CharityCar.us are disposed of in an eco-friendly manner which meets and exceeds all state recycling rules.