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Parkinson Society Canada

Parkinson Society Canada, Toronto,ON Vehicle Donation Quotation Form
 

Parkinson Society Canada is the national voice of Canadians living with Parkinson's. Our purpose as the Parkinson Society Federation is to ease the burden and find a cure through advocacy, education, research and support services.Our vision is a better life with a brighter future for Canadians living with Parkinson's today. A world without Parkinson's tomorrow. All Parkinson Society Partners will work together with each other and in the formulation of all policies, decision making and consultation processes.

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 Canada.

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=