Gulf Coast Social Services: Donate my Car.

Application to Donate Your Vehicle

Mailing Address:	City:
State:	Zip:
Physical Address:	City:
State:	Zip:
Vehicle Description
Year:
Make:	Model:
Body/Trim:	Mileage:
Color:	Vin #:
Title #:	Title State:
Can the vehicle be driven to auction?		Yes No
Does the donor(s)'s name (s) appear on the front of the title?		Yes No
Has the license plate been removed and turned in to the DMV before insurance was cancelled to avoid a fine from the State?		Yes No
Would you like your donation to remain anonymous?		Yes No
*It’s that easy, just click donate my vehicle* and a representative from our donation department will contact you.**


Support us while you shop!