Procure (Become part of the force against prostate cancer!)

Procure
 

The main goal of PROCURE is to provide science and humanity with means to help prevent and cure prostate cancer – a disease which this year alone will be diagnosed in an estimated 22,300 Canadian men and one which will, on average, take the lives of 83 men every week. You can become part of the force against prostate cancer!

Vehicle Donation Form

Owner Information Section
Name * Province *
Address on Ownership *   Postal Code *
City *   Phone Number *
Cell Number   Email *

Donating Your vehicle?
 I want to donate my vehicle to

Vehicle Information Section
Year   Make
Model   Mileage
Licence Plate   VIN #
Location of vehicle if different than the address above.  
Condition of vehicle   Comments about vehicle
There are no liens / loans outstanding against this vehicle.   I do have the ownership / title to transfer to the Authorized Treatment Facility.
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Our partner Green Vehicle Disposal is North America's largest network of self-regulated Auto Recycling Facilities. Our Purpose is to provide our valued customers, with an Eco-Friendly solution for the disposal of old vehicles. All vehicles donated through CharityCar.ca are disposed of in an eco-friendly manner which meets and exceeds all provincial recycling rules.