The Center in Asbury Park

The Center in Asbury Park, Asbury Park,NJ Vehicle Donation Quotation Form
 

Center in Asbury Park is a volunteer service organization made up of people from all faiths who come together in response to the growing AIDS crisis in our society. Located in Asbury, New Jersey, our mission is to be of personal service to those in the community affected by HIV disease both those actually living with the virus, as well as their family, friends, and caregivers. At The Center, the bottom line is making a difference in the lives of these individuals.

Vehicle Donation Quotation Form
Please note: By filling out the form below you are not committed to donating your car. Filling out this form will allow us to contact you with a quote on the price the charity of your choice will receive for your vehicle. All personal data is kept strictly private and will never be sold.
 
Owner Information Section
Name * State/Province *
Address on Ownership * ZIP/Postal Code *
City * Phone Number *
Cell Number Email *

Donating Your vehicle?
Yes, I want to donate my vehicle to The Center in Asbury Park.

Vehicle Information Section

Year Make
Model Mileage
Licence Plate VIN #
 If your vehicle is located at a different address from your home address, please check the box and then complete the following section, if same as home address (skip)
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.
Human? Answer this question 4+7=