Goodwill Auto Donation Form
Donor Information
First Name (*)
*
Last Name (*)
*
Daytime Phone (*)
*
Evening Phone
E-mail Address
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Address (*)
*
City (*)
*
State
Indiana
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District of Columbia
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Zip Code (*)
*
Tax ID (*)
*
Plan to claim tax deduction for this donation
Desired date for vehicle pickup?
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Vehicle Information
I have the vehicle's title
I have the vehicle's keys
Vehicle is drivable
Donation is in a company's name
If so, what is the company's name?
Vehicle Make (*)
*
Model (*)
*
Year (*)
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Vehicle Indentification Number
Additional Information
Comments
How did you hear about Goodwill’s Auto Donation Program?
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Radio
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Newspaper
Friend/Relative
Store
Other