Test ON-LINE DONATION EVALUATION FORM - Copy 1 Your Contact Information:First Name: ** Last Name: ** Phone Number: **Email: ** Where is the Donation Located? City State / Province / Region ZIP / Postal Code Donation Type: Car Boat Truck RV Motorcycle Heavy Equipment Other Property Description:Year: * Make: * Model: * Other Comments and / or Instructions?Please Check One: My Charity Choice I would like help selecting a worthy charity My Charity Choice* Last Step! Just click the “Submit” button below and one of our agents will contact you to discuss your potential donation and confirm your charity choice or assist you in selecting a worthy charity. CAPTCHA