Donate A Car – Austin Auto fix and Paint

Donor Information

Full Name: Contact Number: Email Address: Address (for pickup): Preferred Contact Method (Phone/Email)

Vehicle Information

Make: Model: Year: VIN (optional but helpful): Current Mileage (approximate):

Condition of the Vehicle (select all that apply):

Running
Needs Repairs

Non-Operational

Pickup Details:

Preferred Pickup Date and Time: Pickup Address (if different from mailing address):

Additional Information:

How did you hear about our car donation program? Any additional comments or details about the car?

Acknowledgment:

I confirm that I am the owner of this vehicle or have authorization to donate it.
I understand that this donation will be used to benefit individuals and families in need.

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