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West Island Black Community Association

West Island Black Community Association, Pierrefonds,QC Vehicle Donation Quotation Form
 

WIBCA conducts workshops, presents lectures and discussions in topics such as: Health, Security, Parenting Skills and Financial Management. WIBCA has also established a Drop-in Center to provide a safe place for our young people to connect with their peers and other members of the community. The Scholarship Program supports outstanding High School and College (CEGEP) graduates.

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 West Island Black Community 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=