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Parkinson Society Eastern Ontario

Parkinson Society Eastern Ontario, Ottawa,ON Vehicle Donation Quotation Form

Parkinson Society Eastern Ontario is a regional partner of Parkinson Society Canada. Our mission is to provide support and to improve the quality of life of people living with Parkinson's disease in Eastern Ontario, and to raise funds to support leading edge research for a cure. We deliver a variety of therapeutic and exercise programs, information and referral services, counselling and educational activities throughout our region, and have more than 17 support groups.

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 Parkinson Society Eastern Ontario.

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=