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Frontier Missions, Inc.
|
P: 503-492-0904
|
F: 503-492-1244
|
Portland, Oregon, 97236
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Vehicle Donation Contact Form
Please fill out the form below as best you can. The only required fields are in
bold
with an accompanying
*
.
The provided information will be emailed to FM staff so they can contact you to complete the process.
Contact Information
Name: *
Phone: *
Email:
Address:
City:
State:
Zip Code:
Vehicle Information
Vehicle Type: *
Car
Truck
Boat
Motorhome
Trailer
ATV
Motorcycle
Other
Year of Vehicle:
Make of Vehicle:
Model of Vehicle:
License Number:
Is The Title In Your Posession?:
Yes
No
Application for Duplicate Title?:
Yes
No
Junk Slip?:
Yes
No
Registration Current?:
Yes
No
Is the Vehicle Driveable?:
Yes
No
Does the Vehicle Start?:
Yes
No
Are Keys Available?:
Yes
No
Are Plates on Vehicle?:
Yes
No
Any Damage?:
No Damage
Body Damage
Car in Accident
Rust
Other
Additional Information to Share:
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Frontier Missions, Inc.
|
P: 503-492-0904
|
F: 503-492-1244
|
Portland, Oregon, 97236