National Multiple Sclerosis Society,Central Virginia Chapter

National Multiple Sclerosis Society,Central Virginia Chapter, Richmond,VA Vehicle Donation Quotation Form
 

The Central Virginia Chapter is dedicated to providing services and programs for the 2,500 people and their 7,500 family members in central Virginia living with MS. We mobilize people and resources to drive research for a cure and to address the challenges of everyone affected by MS. The National MS Society is a collective of passionate individuals who want to do something about MS now to move together toward a world free of multiple sclerosis. MS stops people from moving. We exist to make sure it doesn't.

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 *
Daytime Phone Number * Phone/Cell/Work Number *
Email *

Donating Your vehicle?

Yes, I want to donate my vehicle to National Multiple Sclerosis Society,Central Virginia Chapter.

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
*
I do have the ownership / title to transfer to the Authorized Treatment Facility.

Vehicle Images Section
Uploading images will help us to better determine the value of your vehicle, possibly increasing what we will pay for your car.

Human? Answer this question 4+7=