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DONATE YOUR CAR TO SPECIAL OLYMPICS
RECYCLE FOR GOLD
Donate Online
Please fill out the form below and send it to us electronically. You will be contacted within the next 2 business days to arrange a pick up after you’ve donated your vehicle on-line.  You do not have to be present when the vehicle is picked up. Call Millis Industries at 1-800-994-8877 if you have any questions about an arranged pick-up.
EMail:
First Name:
Last Name:
Address:
City:
State:
ZIP:
Daytime Phone:
Alternate Phone:
Vehicle Location:
Vehicle Type: Car Truck Other
Vehicle Year:
Vehicle Make:
Vehicle Model:
Vehicle Color:
VIN (optional):
Please describe your vehicle:
Is vehicle free of liens: Yes No
Do you have vehicle title?: Yes No
Have plates been removed?: Yes No
Car may be resold. Is this OK?: Yes No
How did you hear about RFG?:
If other, please specify:
Would you like to volunteer?: Yes No
Add me to your mailing list: Yes No
Comments:
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