FEA VEHICLE DONATION Program

ONLINE FORM

We thank you so much for your gesture!
Please submit this form and we will follow-up with you as soon as possible. 

Please tell us about you

 

Mailing address 
State 
City 
Zip 

Please tell us about your donation

  
 
  
  
Make 
 
 Plate number  
   
 Model 
  
  In driving condition? 
  
  
  Needs repairs? 
  
Value (estimated)    Do you have the Title? 
  
Vehicle location 
 
Leave blank if same address as above
On a scale from 1 to 10 please rate the condition of the vehicle
From bad (1) to excellent (10) n/a 1 2 3 4 5 6 7 8 9 10
General exterior condition
General interior condition
General mechanical condition
Body
Brakes
Transmission
Tires
Safe to drive or use as it is now?

How did you hear about us?

 

Please enter this security code [ 6798 ] in this box:

Thank You! 

 

  Note: A copy of the official registration and financial information may be obtained from the Division of Consumer Services by calling toll-free within the State. Registration does not imply endorsement, approval, or recommendation by the State. Please contact the Florida Division of Consumer Services directly at 1-800-HELP-FLA (435-7352) or visit their website at  www.FloridaConsumerHelp.com

 

 

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