Vehicle Donation Form * indicates a required field Please note that your information is saved on our server as you enter it. Charity Information Charity Select One Open Door Mission Big Brothers Big Sisters of Greater Rochester Children Awaiting Parents Flower City Habitat for Humanity ABVI Goodwill YWCA Al Sigl Community of Agencies Vehicle Information Year Make Model Type Select One Car Motorcycle Other Vehicle Identification Number (VIN) Certification of Title State Issued Select a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Title Number Is Title Paperwork Present? Yes No Is Vehicle Complete? Yes No Contact Information First Name Last Name Address Address 2 City State Select a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code Phone Number Email Legal Owner of Vehicle Vehicle Condition (brief description) Send