About the Vehicle Donation Program
Why Donate?
How to Donate

Homepage
MADD Northern Virginia

Mothers Against Drunk Driving
Northern Virginia Affiliate

Vehicle Donations Form

Please use the following form to donate your car, boat or RV.  
We will contact you via telephone within twenty-four hours of receipt. If you have any questions about the vehicle donation process, please email us at  
cars@maddnova.org. Or, if you prefer to speak with us, please feel free to call us toll-free at  
1-888-500-MADD seven-days-a-week.

Title:
Name (*First, M.I., *Last):
*Email:
Address Type: (Home, Business, Other)

*Address:
*City: *State:
*Zip:
*Country:
Telephone Type: (Home, Business, Other)
*Telephone ( ) - - ext:

Your Vehicle Information
*Vehicle Type:
*Vehicle Year:
*Vehicle Make:
*Vehicle Model:
*Vehicle Color:
*Vehicle Identification Number:
* Estimated Mileage:
*State in which Title is Issued:

Location of Vehicle
*Vehicle Location Address :
*Vehicle City:
*Vehicle State:
*Vehicle Zip Code:

Mothers Against Drunk Driving
Northern Virginia Affiliate
• P.O. Box 3013 • Fairfax, VA • 22038 •
• (703) 379-1135 • FAX (703) 379-1930 •
northernvirginia.va@madd.org


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