Survey - Vehicle Donation Interest Form - North Carolina Coastal Federation

Vehicle Donation Interest Form

Thank you for your interest in donating a vehicle to the Coastal Federation.

The Federation is in need of two commuter vehicles, ideally a Toyota Camry or Corolla from a nonsmoking household with less than 100,000 miles. Please complete this interest form below and a member of our team will be in touch shortly.

Donations are tax deductible. Please complete this form by Dec 1 for 2024 taxes.

1. Contact Information

Field Is Required First

Field Is Required Last

Street 1:

City/Town:

State / Province:

ZIP / Postal Code:

Field Is Required Email:

Please check this box to receive or continue receiving periodic email and print updates from North Carolina Coastal Federation.

2. Field Is Required What year is the vehicle?

3. Field Is Required What make and model is the vehicle?

4. Field Is Required What is the approximate mileage on the vehicle?

5. Please enter the VIN number.

6. Please enter the general location of the vehicle (city/state).

7. Field Is Required Please briefly describe the vehicle's condition and any known issues.

8. Field Is Required This vehicle comes from a non-smoking household.

9. Since you're here, would you also like to subscribe to our monthly e-newsletter?

Yes, subscribe me.