Vehicle Donation Form

To donate a vehicle to the Make-A-Wish Foundation® of Oregon, please fill out and submit the form below.
Input fields marked with an • are required.

• Your email address:

• Your full name:

• Your mailing address:

• Your home phone:

Alternate phone number:

• Best time to call:

To help us process your donation, please provide the information below. Please note: you may submit this form without completing the following information, but we will need this information later.

• Year:

• Make:

• Model:

Type of Vehicle (optional): -- select vehicle type -- Car Truck Boat Trailer Motor Home Airplane Vehicle Other

Plate Number (optional):

Title Number (optional):

Vin Number (optional):

Please check all boxes that apply

Out of State Title / Pink Slip?

Salvage Title?

Vehicle Running?

Vehicle Stopped Runing During Last Nine Months?

Vehicle Needs A Head Gasket?

Vehicle Involved In A Fire?

Vehicle Involved In A Flood?

Vehicle Involved In A Major Collision?

Vehicle Has A Cracked Block?

Vehicle Has A Thrown Rod?

All Four Wheels Present And Able To Spin?

Comments Or Other Information: