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

Saskatchewan Hospice Palliative Care Association

Saskatchewan Hospice Palliative Care Association, Regina,SK Vehicle Donation Quotation Form
 

Our mission is to strive towards achieving comfort and peace for persons across Saskatchewan living and dying with a terminal illness. The Association exists to promote the philosophy and the principles of Palliative care through networking, education, advocacy and research. The Association is committed to education and public awareness of the need of the terminally ill: thus enabling and empowering communities to recognize the values, needs and wishes of persons in all seasons of life.

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 Saskatchewan Hospice Palliative Care Association.

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=