Go to Our US Site
Phone Us At
1-877-363-6354

Kruising for Keely

Kruising for Keely, Ottawa,ON Vehicle Donation Quotation Form
 

We are the family and friends of Keely, our group founder's 7-year-old daughter who was diagnosed with Juvenile Diabetes shortly after her 2nd birthday. We are lacing our sneakers, riding our bikes, and doing pretty much anything else we can think of to raise awareness and funds for the Juvenile Diabetes Research Foundation (Canada). We are hopeful that a cure will be available by the time Keely reaches high school, if not much sooner. Thank you for your support!"

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 Kruising for Keely.

Vehicle Information Section

Year * Make *
Model * Mileage
License 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=