Please fill out this quick online vehicle donation form to donate a car to charity. This form allows you to select the charity you would like to support. The following charities are verified and pre-screened 501 (c) 3 non-profit organizations so you can donate with confidence.

We do not disclose, share, trade or sell any nonpublic or public personal information about you to anyone except as permitted by law. Your confidence is important and we want you to know that your personal information is safe with us. Please contact us if you have any questions or concerns.

Five Towns Kiwanis Club
I would recommend the services of Miles Ahead Network without hesitation to any charity that needs to generate funds easily. This is a great fundraiser for any Kiwanis Club. Itís working really well for our club.

Dr. Frederick Seltzer, Distinguished Past Lieutenant Governor


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Donation Form
* Type of Donation:
* First Name:
* Last Name:
* Address:
 
* City:
* State:
* Zip Code:
   
Business Phone
Home Phone:
* E-Mail Address:
* Confirm E-Mail:
   
Select a Charity:

Vehicle Information
Year:
Make:
Model:
VIN:
Mileage:
Is the vehicle running?
Condition of the body:
Problems (engine, transmission, tires, etc.)
Condition of the interior:
Do you have the title?
   
Location of Vehicle (If same as above, please leave blank)
Address:
 
City:
State:
Zip Code:
 
Additonal Comments, Special Instructions


 
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