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Ontario Shores Foundation for Mental Health

Ontario Shores Foundation for Mental Health, Whitby,ON Vehicle Donation Quotation Form
 

Ontario Shores Foundation for Mental Health is an independently incorporated charity whose purpose is to raise funds in support of Ontario Shores Centre for Mental Health Sciences (formerly Whitby Mental Health Centre) and its partners who provide services and support to Ontario Shores patients and their families.

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 Ontario Shores Foundation for Mental Health.

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=