Donate Your Car To:

 St. Vincent de Paul

Check in form:  You can start the process of donating your car now.
Fill out this form, print it and bring it to our main office with your signed title. 
Additional information will be required upon your donation visit.   

Prefix:
First Name:
Last Name:
Address:

City:
State/Province:
Post/Zip Code:
Email:

 


Phone:


Vehicle's current location:

Address:

 

City:

vehicle will be brought to 1109 Jonathon Drive

vehicle must be towed from current location 

 

Description of Vehicle:

Year:    Make:    Model: 
                                   (Chevrolet, Ford, Dodge etc.)   

 

 

 

 

Condition:
runs:  yes  no
drives:  yes  no
brakes:  yes  no
transmission:  yes  no
 

General Condition:

Engine Size:
Transmission:
Style:

check appropriate boxes: 
Air Conditioning
Power Steering
Power Locks
Tilt Wheel
Cruise Control
AM/FM Radio
Cassette
Compact Disk
Premium Sound
ABS
Four Wheel Drive
Leather Interior
Sun Roof
Moon Roof
Alloy Wheels

 

Print form and bring with signed title to:
Society of St. Vincent de Paul
1109 Jonathon Drive
Madison, WI  53713

Attention: All names on title must sign the title. 
If liens or mortgages are listed on title we must have the original satisfaction note.

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The District Council of Madison, Inc. Society of St. Vincent de Paul is a tax-exempt 501.c.3 charitable organization.  

 

District Council of Madison Wisconsin
© 2004 Society Of St Vincent de Paul All Rights Reserved

 

 
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