www.wheelsforwishes.org
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172.66.40.194
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Submitted URL: https://kansas.wheelsforwishes.org/
Effective URL: https://www.wheelsforwishes.org/
Submission: On October 10 via api from US — Scanned from US
Effective URL: https://www.wheelsforwishes.org/
Submission: On October 10 via api from US — Scanned from US
Form analysis 2 forms found in the DOM
POST
<form data-form_id="5" id="fluentform_5" class="frm-fluent-form fluent_form_5 ff-el-form-top ff_form_instance_5_1 ff-form-has-steps acd-donation-form ffs_default ff-form-loaded" data-form_instance="ff_form_instance_5_1" method="POST">
<fieldset style="border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;">
<legend class="ff_screen_reader_title" style="display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;">7 Step Donation Form 2021 v002</legend> <span
style="display: none !important;"><input type="checkbox" name="item__5__fluent_checkme_" value="1" style="display:none !important;" tabindex="-1" aria-hidden="true"></span>
<input type="hidden" name="__fluent_form_embded_post_id" value="32266"><input type="hidden" id="_fluentform_5_fluentformnonce" name="_fluentform_5_fluentformnonce" value="88145c3227"><input type="hidden" name="_wp_http_referer" value="/">
<div class="ff-step-container" data-name="step_start-5_22" data-disable_auto_focus="no" data-enable_auto_slider="no" data-enable_step_data_persistency="yes" data-enable_step_page_resume="yes" data-animation_type="slide">
<div class="ff-step-header">
<ul class="ff-step-titles">
<li class="ff_active active" data-step-number="0"><span>Start</span></li>
<li data-step-number="1"><span>Name</span></li>
<li data-step-number="2"><span>Phone</span></li>
<li data-step-number="3"><span>Address</span></li>
<li data-step-number="4"><span>Receipt</span></li>
<li data-step-number="5"><span>Vehicle</span></li>
<li data-step-number="6"><span>Comments</span></li>
</ul>
</div><span class="ff_step_start"></span>
<div class="ff-step-body" style="width: 700%;">
<div class="ff_start_paging fluentform-step active" data-name="step_start-5_22" data-disable_auto_focus="no" data-enable_auto_slider="no" data-enable_step_data_persistency="yes" data-enable_step_page_resume="yes" data-animation_type="slide"
style="width: 14.2857%;">
<div class="ff-el-group ff-custom_html steps-condensed-header" data-name="custom_html-5_1">
<p><img width="413" height="65" class="steps-condensed" src="/wp-content/uploads/2022/08/car-donation-step-1.5.svg" alt="car donation form step 1: start"></p>
</div>
<div class="ff-el-group ff-custom_html group-title" data-name="custom_html-5_2">
<h4>Let's get started! What type of vehicle would you like to donate?</h4>
</div>
<div class="ff-el-group form-custom-donate-type ff_list_buttons">
<div class="ff-el-input--label ff-el-is-required asterisk-right"><label aria-label="I'd like to donate a (click one)">I'd like to donate a (click one)</label></div>
<div class="ff-el-input--content">
<div class="ff_el_checkable_photo_holders">
<div class="ff-el-form-check ff-el-form-check- ff-el-image-holder"><label style="background-image: url(https://www.wheelsforwishes.org/wp-content/uploads/2021/07/car-duotone.svg)" class="ff-el-image-input-src"
for="input_radio_63b80a5a995f76eb6a08c6ff3afd3cb8" aria-label="Car"></label><label class="ff-el-form-check-label" for="input_radio_63b80a5a995f76eb6a08c6ff3afd3cb8"><input type="radio" name="input_radio" data-name="input_radio"
class="ff-el-form-check-input ff-el-form-check-radio" value="Car" id="input_radio_63b80a5a995f76eb6a08c6ff3afd3cb8" aria-label="Car" aria-invalid="false" aria-required="true"> <span>Car</span></label></div>
<div class="ff-el-form-check ff-el-form-check- ff-el-image-holder"><label style="background-image: url(https://www.wheelsforwishes.org/wp-content/uploads/2021/07/motorcycle-duotone.svg)" class="ff-el-image-input-src"
for="input_radio_81833fbf3a8b537dfde452c6b94223a4" aria-label="Cycle"></label><label class="ff-el-form-check-label" for="input_radio_81833fbf3a8b537dfde452c6b94223a4"><input type="radio" name="input_radio" data-name="input_radio"
class="ff-el-form-check-input ff-el-form-check-radio" value="Cycle" id="input_radio_81833fbf3a8b537dfde452c6b94223a4" aria-label="Cycle" aria-invalid="false" aria-required="true"> <span>Cycle</span></label></div>
<div class="ff-el-form-check ff-el-form-check- ff-el-image-holder"><label style="background-image: url(https://www.wheelsforwishes.org/wp-content/uploads/2021/07/ship-duotone.svg)" class="ff-el-image-input-src"
for="input_radio_00fecad15059c9aeabb20e1111a605a4" aria-label="Boat"></label><label class="ff-el-form-check-label" for="input_radio_00fecad15059c9aeabb20e1111a605a4"><input type="radio" name="input_radio" data-name="input_radio"
class="ff-el-form-check-input ff-el-form-check-radio" value="Boat" id="input_radio_00fecad15059c9aeabb20e1111a605a4" aria-label="Boat" aria-invalid="false" aria-required="true"> <span>Boat</span></label></div>
<div class="ff-el-form-check ff-el-form-check- ff-el-image-holder"><label style="background-image: url(https://www.wheelsforwishes.org/wp-content/uploads/2021/07/rv-duotone.svg)" class="ff-el-image-input-src"
for="input_radio_dde32cd268c83cc78fda9bf0c7c09f1b" aria-label="RV"></label><label class="ff-el-form-check-label" for="input_radio_dde32cd268c83cc78fda9bf0c7c09f1b"><input type="radio" name="input_radio" data-name="input_radio"
class="ff-el-form-check-input ff-el-form-check-radio" value="RV" id="input_radio_dde32cd268c83cc78fda9bf0c7c09f1b" aria-label="RV" aria-invalid="false" aria-required="true"> <span>RV</span></label></div>
<div class="ff-el-form-check ff-el-form-check- ff-el-image-holder"><label style="background-image: url(https://www.wheelsforwishes.org/wp-content/uploads/2021/07/caravan-duotone.svg)" class="ff-el-image-input-src"
for="input_radio_b90eb6f70fc0045697ec502881ed07e1" aria-label="Other"></label><label class="ff-el-form-check-label" for="input_radio_b90eb6f70fc0045697ec502881ed07e1"><input type="radio" name="input_radio" data-name="input_radio"
class="ff-el-form-check-input ff-el-form-check-radio" value="Other" id="input_radio_b90eb6f70fc0045697ec502881ed07e1" aria-label="Other" aria-invalid="false" aria-required="true"> <span>Other</span></label></div>
</div>
</div>
</div>
<div class="ff-el-group ff-custom_html has-conditions ff_excluded" data-name="custom_html-5_3">
<p style="text-align: center">These donations are accepted on a case-by-case basis. Pictures and proof of ownership may be required.</p>
</div><input type="hidden" name="entry_refer" value="{"refer":"(none)","entry":"/"}" data-name="entry_refer">
<div class="step-nav ff_step_nav_last"><button type="button" data-action="next" class="ff-float-right ff-btn ff-btn-next ff-btn-secondary">Next</button></div>
</div>
<div class=" fluentform-step" data-name="form_step-5_4" style="width: 14.2857%;">
<div class="ff-el-group ff-custom_html steps-condensed-header" data-name="custom_html-5_5">
<p><img width="413" height="65" class="steps-condensed entered lazyloaded" src="/wp-content/uploads/2022/08/car-donation-step-2.0.svg" alt="car donation form step 2: contact information"
data-lazy-src="/wp-content/uploads/2022/08/car-donation-step-2.0.svg" data-ll-status="loaded"><noscript><img width="413" height="65" class="steps-condensed" src="/wp-content/uploads/2022/08/car-donation-step-2.0.svg"
alt="car donation form step 2: contact information"></noscript></p>
</div>
<div class="ff-el-group ff-custom_html group-title" data-name="custom_html-5_6">
<h4>What is your name?</h4>
</div>
<div data-type="name-element" data-name="names" class=" ff-field_container ff-name-field-wrapper">
<div class="ff-t-container">
<div class="ff-t-cell ">
<div class="ff-el-group ff-el-form-top">
<div class="ff-el-input--label ff-el-is-required asterisk-right"><label for="ff_5_names_first_name_" aria-label="First Name">First Name</label></div>
<div class="ff-el-input--content"><input type="text" name="names[first_name]" id="ff_5_names_first_name_" class="ff-el-form-control" placeholder="First Name" aria-invalid="false" aria-required="true"></div>
</div>
</div>
<div class="ff-t-cell ">
<div class="ff-el-group ff-el-form-top">
<div class="ff-el-input--label ff-el-is-required asterisk-right"><label for="ff_5_names_last_name_" aria-label="Last Name">Last Name</label></div>
<div class="ff-el-input--content"><input type="text" name="names[last_name]" id="ff_5_names_last_name_" class="ff-el-form-control" placeholder="Last Name" aria-invalid="false" aria-required="true"></div>
</div>
</div>
</div>
</div>
<div class="ff-el-group">
<div class="ff-el-input--label asterisk-right"><label aria-label="Is this donation in the name of a business or trust?">Is this donation in the name of a business or trust?</label></div>
<div class="ff-el-input--content">
<div class="ff-el-form-check ff-el-form-check-"><label class="ff-el-form-check-label" for="input_radio_2_69e45310feeba8e9cfe416e3394c5730"><input type="radio" name="input_radio_2" data-name="input_radio_2"
class="ff-el-form-check-input ff-el-form-check-radio" value="yes" id="input_radio_2_69e45310feeba8e9cfe416e3394c5730" aria-label="Yes" aria-invalid="false" aria-required="false"> <span>Yes</span></label></div>
<div class="ff-el-form-check ff-el-form-check- ff_item_selected"><label class="ff-el-form-check-label" for="input_radio_2_6d595682dec96a91bd64c7d731834f12"><input type="radio" name="input_radio_2" data-name="input_radio_2"
class="ff-el-form-check-input ff-el-form-check-radio" checked="1" value="no" id="input_radio_2_6d595682dec96a91bd64c7d731834f12" aria-label="No" aria-invalid="false" aria-required="false"> <span>No</span></label></div>
</div>
</div>
<div class="ff-el-group has-conditions ff_excluded">
<div class="ff-el-input--label ff-el-is-required asterisk-right"><label for="ff_5_input_text" aria-label="Business Name">Business Name</label></div>
<div class="ff-el-input--content"><input type="text" name="input_text" class="ff-el-form-control" data-name="input_text" id="ff_5_input_text" aria-invalid="false" aria-required="true"></div>
</div>
<div class="step-nav ff_step_nav_last"><button type="button" data-action="prev" class="ff-btn ff-btn-prev ff-btn-secondary">Previous</button><button type="button" data-action="next"
class="ff-float-right ff-btn ff-btn-next ff-btn-secondary">Next</button></div>
</div>
<div class="ff-step-with-email fluentform-step" data-name="form_step-5_7" style="width: 14.2857%;">
<div class="ff-el-group ff-custom_html steps-condensed-header" data-name="custom_html-5_8">
<p><img width="413" height="65" class="steps-condensed entered lazyloaded" src="/wp-content/uploads/2022/08/car-donation-step-2.5.svg" alt="car donation form step 2.5: contact information"
data-lazy-src="/wp-content/uploads/2022/08/car-donation-step-2.5.svg" data-ll-status="loaded"><noscript><img width="413" height="65" class="steps-condensed" src="/wp-content/uploads/2022/08/car-donation-step-2.5.svg"
alt="car donation form step 2.5: contact information"></noscript></p>
</div>
<div class="ff-el-group ff-custom_html group-title" data-name="custom_html-5_9">
<h4>How can we contact you?</h4>
</div>
<div data-name="ff_cn_id_1" class="ff-t-container ff-column-container ff_columns_total_2 ">
<div class="ff-t-cell ff-t-column-1" style="flex-basis: 50%;">
<div class="ff-el-group">
<div class="ff-el-input--label ff-el-is-required asterisk-right"><label for="ff_5_phone" aria-label="Best Phone Number">Best Phone Number</label></div>
<div class="ff-el-input--content">
<div class="iti iti--allow-dropdown iti--show-flags">
<div class="iti__flag-container">
<div class="iti__selected-flag" role="combobox" aria-haspopup="listbox" aria-controls="iti-0__country-listbox" aria-owns="iti-0__country-listbox" aria-expanded="false" aria-label="Telephone country code" tabindex="0"
title="United States: +1">
<div class="iti__flag iti__us"></div>
<div class="iti__arrow"></div>
</div>
<ul class="iti__country-list iti__hide" id="iti-0__country-listbox" role="listbox" aria-label="List of countries">
<li class="iti__country iti__preferred iti__active" tabindex="-1" id="iti-0__item-us-preferred" role="option" data-dial-code="1" data-country-code="us" aria-selected="true">
<div class="iti__flag-box">
<div class="iti__flag iti__us"></div>
</div><span class="iti__country-name">United States</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__divider" role="separator" aria-disabled="true"></li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-us" role="option" data-dial-code="1" data-country-code="us" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__us"></div>
</div><span class="iti__country-name">United States</span><span class="iti__dial-code">+1</span>
</li>
</ul>
</div><input name="phone" class="ff-el-form-control ff-el-phone ff_el_with_extended_validation" type="tel" placeholder="Best Phone Number" data-name="phone" id="ff_5_phone" inputmode="tel" aria-invalid="false" aria-required="true"
autocomplete="off" data-intl-tel-input-id="0">
</div>
<div class="ff-el-help-message">Our processing partner will call this number to schedule pickup</div>
</div>
</div>
<div class="ff-el-group ff_list_buttons">
<div class="ff-el-input--label asterisk-right"><label aria-label="If needed, may we send text messages using the number above?">If needed, may we send text messages using the number above?</label></div>
<div class="ff-el-input--content">
<div class="ff-el-form-check ff-el-form-check- ff_item_selected"><label class="ff-el-form-check-label" for="input_radio_txt_msg_2c0296a130a06c6c2437cbfaafe0a310"><input type="radio" name="input_radio_txt_msg"
data-name="input_radio_txt_msg" class="ff-el-form-check-input ff-el-form-check-radio" checked="1" value="True" id="input_radio_txt_msg_2c0296a130a06c6c2437cbfaafe0a310" aria-label="Yes" aria-invalid="false"
aria-required="false"> <span>Yes</span></label></div>
<div class="ff-el-form-check ff-el-form-check-"><label class="ff-el-form-check-label" for="input_radio_txt_msg_2d3fd53d094d35e6ac176bcfa66a6bb7"><input type="radio" name="input_radio_txt_msg" data-name="input_radio_txt_msg"
class="ff-el-form-check-input ff-el-form-check-radio" value="False" id="input_radio_txt_msg_2d3fd53d094d35e6ac176bcfa66a6bb7" aria-label="No" aria-invalid="false" aria-required="false"> <span>No</span></label></div>
</div>
</div>
</div>
<div class="ff-t-cell ff-t-column-2" style="flex-basis: 50%;">
<div class="ff-el-group">
<div class="ff-el-input--label asterisk-right"><label for="ff_5_email" aria-label="Email">Email</label></div>
<div class="ff-el-input--content"><input type="email" name="email" id="ff_5_email" class="ff-el-form-control" placeholder="Email Address" data-name="email" aria-invalid="false" aria-required="false">
<div class="ff-el-help-message">Optional, but greatly helps us to communicate with you.</div>
</div>
</div>
</div>
</div>
<div class="step-nav ff_step_nav_last"><button type="button" data-action="prev" class="ff-btn ff-btn-prev ff-btn-secondary">Previous</button><button type="button" data-action="next"
class="ff-float-right ff-btn ff-btn-next ff-btn-secondary">Next</button></div>
</div>
<div class=" fluentform-step" data-name="form_step-5_10" style="width: 14.2857%;">
<div class="ff-el-group ff-custom_html steps-condensed-header" data-name="custom_html-5_11">
<p><img width="413" height="65" class="steps-condensed entered lazyloaded" src="/wp-content/uploads/2022/08/car-donation-step-3.0.svg" alt="car donation form step 3: vehicle pickup information"
data-lazy-src="/wp-content/uploads/2022/08/car-donation-step-3.0.svg" data-ll-status="loaded"><noscript><img width="413" height="65" class="steps-condensed" src="/wp-content/uploads/2022/08/car-donation-step-3.0.svg"
alt="car donation form step 3: vehicle pickup information"></noscript></p>
</div>
<div class="ff-el-group ff-custom_html group-title" data-name="custom_html-5_12">
<h4>Please tell us about your pick-up location.</h4>
</div>
<div data-name="ff_cn_id_2" class="ff-t-container ff-column-container ff_columns_total_2 ">
<div class="ff-t-cell ff-t-column-1" style="flex-basis: 50%;">
<div class="ff-el-group">
<div class="ff-el-input--label ff-el-is-required asterisk-right"><label for="ff_5_input_text_1" aria-label="Pickup Address">Pickup Address</label></div>
<div class="ff-el-input--content"><input type="text" name="input_text_1" class="ff-el-form-control" data-name="input_text_1" id="ff_5_input_text_1" aria-invalid="false" aria-required="true"></div>
</div>
<div class="ff-el-group hidden">
<div class="ff-el-input--label asterisk-right"><label for="ff_5_input_text_3" aria-label="Pickup Address Line 2">Pickup Address Line 2</label></div>
<div class="ff-el-input--content"><input type="text" name="input_text_3" class="ff-el-form-control" data-name="input_text_3" id="ff_5_input_text_3" aria-invalid="false" aria-required="false"></div>
</div>
<div class="ff-el-group">
<div class="ff-el-input--label ff-el-is-required asterisk-right"><label for="ff_5_dropdown_1" aria-label="Pickup State">Pickup State</label></div>
<div class="ff-el-input--content"><select name="dropdown_1" id="ff_5_dropdown_1" class="ff-el-form-control" data-name="dropdown_1" data-calc_value="0" aria-invalid="false" aria-required="true">
<option value="">- Select -</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select></div>
</div>
</div>
<div class="ff-t-cell ff-t-column-2" style="flex-basis: 50%;">
<div class="ff-el-group">
<div class="ff-el-input--label ff-el-is-required asterisk-right"><label for="ff_5_input_text_4" aria-label="Pickup Zip Code">Pickup Zip Code</label></div>
<div class="ff-el-input--content"><input type="text" name="input_text_4" class="ff-el-form-control" data-name="input_text_4" id="ff_5_input_text_4" aria-invalid="false" aria-required="true"></div>
</div>
<div class="ff-el-group">
<div class="ff-el-input--label ff-el-is-required asterisk-right"><label for="ff_5_input_text_5" aria-label="Pickup City">Pickup City</label></div>
<div class="ff-el-input--content"><input type="text" name="input_text_5" class="ff-el-form-control" data-name="input_text_5" id="ff_5_input_text_5" aria-invalid="false" aria-required="true"></div>
</div>
</div>
</div>
<div class="step-nav ff_step_nav_last"><button type="button" data-action="prev" class="ff-btn ff-btn-prev ff-btn-secondary">Previous</button><button type="button" data-action="next"
class="ff-float-right ff-btn ff-btn-next ff-btn-secondary">Next</button></div>
</div>
<div class=" fluentform-step" data-name="form_step-5_13" style="width: 14.2857%;">
<div class="ff-el-group ff-custom_html steps-condensed-header" data-name="custom_html-5_14">
<p><img width="413" height="65" class="steps-condensed entered lazyloaded" src="/wp-content/uploads/2022/08/car-donation-step-3.5.svg" alt="car donation form step 3.5: mailing address"
data-lazy-src="/wp-content/uploads/2022/08/car-donation-step-3.5.svg" data-ll-status="loaded"><noscript><img width="413" height="65" class="steps-condensed" src="/wp-content/uploads/2022/08/car-donation-step-3.5.svg"
alt="car donation form step 3.5: mailing address"></noscript></p>
</div>
<div class="ff-el-group ff-custom_html group-title" data-name="custom_html-5_15">
<h4>Tell us where to mail your receipt.</h4>
</div>
<div class="ff-el-group ff_list_buttons">
<div class="ff-el-input--label asterisk-right"><label aria-label="Do you need your receipt to be mailed to a different address than the pickup address?">Do you need your receipt to be mailed to a different address than the pickup
address?</label></div>
<div class="ff-el-input--content">
<div class="ff-el-form-check ff-el-form-check- ff_item_selected"><label class="ff-el-form-check-label" for="input_radio_1_9b336f5be4c43bd2b9dd538171faf97b"><input type="radio" name="input_radio_1" data-name="input_radio_1"
class="ff-el-form-check-input ff-el-form-check-radio" checked="1" value="True" id="input_radio_1_9b336f5be4c43bd2b9dd538171faf97b" aria-label="No" aria-invalid="false" aria-required="false"> <span>No</span></label></div>
<div class="ff-el-form-check ff-el-form-check-"><label class="ff-el-form-check-label" for="input_radio_1_1b6faadc552fde758cfa3a85658703cd"><input type="radio" name="input_radio_1" data-name="input_radio_1"
class="ff-el-form-check-input ff-el-form-check-radio" value="False" id="input_radio_1_1b6faadc552fde758cfa3a85658703cd" aria-label="Yes" aria-invalid="false" aria-required="false"> <span>Yes</span></label></div>
</div>
</div>
<div data-name="ff_cn_id_3" class="ff-t-container ff-column-container ff_columns_total_2 has-conditions ff_excluded">
<div class="ff-t-cell ff-t-column-1" style="flex-basis: 50%;">
<div class="ff-el-group">
<div class="ff-el-input--label ff-el-is-required asterisk-right"><label for="ff_5_input_text_6" aria-label="Mailing Address">Mailing Address</label></div>
<div class="ff-el-input--content"><input type="text" name="input_text_6" class="ff-el-form-control" data-name="input_text_6" id="ff_5_input_text_6" aria-invalid="false" aria-required="true"></div>
</div>
<div class="ff-el-group hidden">
<div class="ff-el-input--label asterisk-right"><label for="ff_5_input_text_7" aria-label="Mailing Address Line 2">Mailing Address Line 2</label></div>
<div class="ff-el-input--content"><input type="text" name="input_text_7" class="ff-el-form-control" data-name="input_text_7" id="ff_5_input_text_7" aria-invalid="false" aria-required="false"></div>
</div>
<div class="ff-el-group">
<div class="ff-el-input--label ff-el-is-required asterisk-right"><label for="ff_5_dropdown_2" aria-label="Mailing State">Mailing State</label></div>
<div class="ff-el-input--content"><select name="dropdown_2" id="ff_5_dropdown_2" class="ff-el-form-control" data-name="dropdown_2" data-calc_value="0" aria-invalid="false" aria-required="true">
<option value="">- Select -</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select></div>
</div>
</div>
<div class="ff-t-cell ff-t-column-2" style="flex-basis: 50%;">
<div class="ff-el-group">
<div class="ff-el-input--label ff-el-is-required asterisk-right"><label for="ff_5_input_text_9" aria-label="Mailing Zip Code">Mailing Zip Code</label></div>
<div class="ff-el-input--content"><input type="text" name="input_text_9" class="ff-el-form-control" data-name="input_text_9" id="ff_5_input_text_9" aria-invalid="false" aria-required="true"></div>
</div>
<div class="ff-el-group">
<div class="ff-el-input--label ff-el-is-required asterisk-right"><label for="ff_5_input_text_8" aria-label="Mailing City">Mailing City</label></div>
<div class="ff-el-input--content"><input type="text" name="input_text_8" class="ff-el-form-control" data-name="input_text_8" id="ff_5_input_text_8" aria-invalid="false" aria-required="true"></div>
</div>
</div>
</div>
<div class="step-nav ff_step_nav_last"><button type="button" data-action="prev" class="ff-btn ff-btn-prev ff-btn-secondary">Previous</button><button type="button" data-action="next"
class="ff-float-right ff-btn ff-btn-next ff-btn-secondary">Next</button></div>
</div>
<div class=" fluentform-step" data-name="form_step-5_16" style="width: 14.2857%;">
<div class="ff-el-group ff-custom_html steps-condensed-header" data-name="custom_html-5_17">
<p><img width="413" height="65" class="steps-condensed entered lazyloaded" src="/wp-content/uploads/2022/08/car-donation-step-3.9.svg" alt="car donation form step 3.9: year make model"
data-lazy-src="/wp-content/uploads/2022/08/car-donation-step-3.9.svg" data-ll-status="loaded"><noscript><img width="413" height="65" class="steps-condensed" src="/wp-content/uploads/2022/08/car-donation-step-3.9.svg"
alt="car donation form step 3.9: year make model"></noscript></p>
</div>
<div class="ff-el-group ff-custom_html group-title" data-name="custom_html-5_18">
<h4>Please tell us more about your vehicle.</h4>
</div>
<div class="has-conditions ff-field_container ff-chained-select-field-wrapper ff_excluded" data-type="chained-select" data-name="chained_select_ymm_three" data-source-type="file">
<div class="ff-t-container">
<div class="ff-t-cell">
<div class="ff-el-group has-conditions ff_excluded">
<div class="ff-el-input--label ff-el-is-required asterisk-right"><label for="ff_5_chained_select_ymm_three_Year_" aria-label="Year">Year</label></div>
<div class="ff-el-input--content"><select name="chained_select_ymm_three[Year]" class="ff-el-form-control el-chained-select" data-name="chained_select_ymm_three" data-source-type="file" id="ff_5_chained_select_ymm_three_Year_"
data-index="0" data-meta_key="chained_select_chained_select_ymm_three" data-key="Year">
<option value="">Year</option>
<option value="2021">2021</option>
<option value="2020">2020</option>
<option value="2019">2019</option>
<option value="2018">2018</option>
<option value="2017">2017</option>
<option value="2016">2016</option>
<option value="2015">2015</option>
<option value="2014">2014</option>
<option value="2013">2013</option>
<option value="2012">2012</option>
<option value="2011">2011</option>
<option value="2010">2010</option>
<option value="2009">2009</option>
<option value="2008">2008</option>
<option value="2007">2007</option>
<option value="2006">2006</option>
<option value="2005">2005</option>
<option value="2004">2004</option>
<option value="2003">2003</option>
<option value="2002">2002</option>
<option value="2001">2001</option>
<option value="2000">2000</option>
<option value="1999">1999</option>
<option value="1998">1998</option>
<option value="1997">1997</option>
<option value="1996">1996</option>
<option value="1995">1995</option>
<option value="1994">1994</option>
<option value="1993">1993</option>
<option value="1992">1992</option>
<option value="1991">1991</option>
<option value="1990">1990</option>
<option value="1989">1989</option>
<option value="1988">1988</option>
<option value="1987">1987</option>
<option value="1986">1986</option>
<option value="1985">1985</option>
<option value="1984">1984</option>
<option value="1983">1983</option>
<option value="1982">1982</option>
<option value="1981">1981</option>
<option value="1980">1980</option>
<option value="1979">1979</option>
<option value="1978">1978</option>
<option value="1977">1977</option>
<option value="1976">1976</option>
<option value="1975">1975</option>
<option value="1974">1974</option>
<option value="1973">1973</option>
<option value="1972">1972</option>
<option value="1971">1971</option>
<option value="1970">1970</option>
<option value="1969">1969</option>
<option value="1968">1968</option>
<option value="1967">1967</option>
<option value="1966">1966</option>
<option value="1965">1965</option>
<option value="1964">1964</option>
<option value="1963">1963</option>
<option value="1962">1962</option>
<option value="1961">1961</option>
<option value="1960">1960</option>
<option value="1959">1959</option>
<option value="1958">1958</option>
<option value="1957">1957</option>
<option value="1956">1956</option>
<option value="1955">1955</option>
<option value="1954">1954</option>
<option value="1953">1953</option>
<option value="1952">1952</option>
<option value="1951">1951</option>
<option value="1950">1950</option>
<option value="1949">1949</option>
<option value="1948">1948</option>
<option value="1947">1947</option>
<option value="1946">1946</option>
<option value="1945">1945</option>
<option value="1944">1944</option>
<option value="1943">1943</option>
<option value="1942">1942</option>
<option value="1941">1941</option>
<option value="1940">1940</option>
<option value="1939">1939</option>
<option value="1938">1938</option>
<option value="1937">1937</option>
<option value="1936">1936</option>
<option value="1935">1935</option>
<option value="1934">1934</option>
<option value="1933">1933</option>
<option value="1932">1932</option>
<option value="1931">1931</option>
<option value="1930">1930</option>
<option value="1929">1929</option>
<option value="1928">1928</option>
<option value="1927">1927</option>
<option value="1926">1926</option>
<option value="1925">1925</option>
<option value="1924">1924</option>
<option value="1923">1923</option>
<option value="1922">1922</option>
<option value="1921">1921</option>
<option value="1920">1920</option>
<option value="1919">1919</option>
<option value="1918">1918</option>
<option value="1917">1917</option>
<option value="1916">1916</option>
<option value="1915">1915</option>
<option value="1914">1914</option>
<option value="1913">1913</option>
<option value="1912">1912</option>
<option value="1911">1911</option>
<option value="1910">1910</option>
<option value="1909">1909</option>
<option value="1908">1908</option>
<option value="1907">1907</option>
<option value="1906">1906</option>
<option value="1905">1905</option>
<option value="1904">1904</option>
</select></div>
</div>
</div>
<div class="ff-t-cell">
<div class="ff-el-group has-conditions ff_excluded">
<div class="ff-el-input--label ff-el-is-required asterisk-right"><label for="ff_5_chained_select_ymm_three_Make_" aria-label="Make">Make</label></div>
<div class="ff-el-input--content"><select disabled="" name="chained_select_ymm_three[Make]" class="ff-el-form-control el-chained-select" data-name="chained_select_ymm_three" data-source-type="file"
id="ff_5_chained_select_ymm_three_Make_" data-index="1" data-meta_key="chained_select_chained_select_ymm_three" data-key="Make">
<option value="">Make</option>
</select></div>
</div>
</div>
<div class="ff-t-cell">
<div class="ff-el-group has-conditions ff_excluded">
<div class="ff-el-input--label ff-el-is-required asterisk-right"><label for="ff_5_chained_select_ymm_three_Model_" aria-label="Model">Model</label></div>
<div class="ff-el-input--content"><select disabled="" name="chained_select_ymm_three[Model]" class="ff-el-form-control el-chained-select" data-name="chained_select_ymm_three" data-source-type="file"
id="ff_5_chained_select_ymm_three_Model_" data-index="2" data-meta_key="chained_select_chained_select_ymm_three" data-key="Model">
<option value="">Model</option>
</select></div>
</div>
</div>
</div>
</div>
<div data-name="ff_cn_id_4" class="ff-t-container ff-column-container ff_columns_total_3 has-conditions ff_excluded">
<div class="ff-t-cell ff-t-column-1" style="flex-basis: 33.33%;">
<div class="ff-el-group">
<div class="ff-el-input--label ff-el-is-required asterisk-right"><label for="ff_5_input_text_txt_year" aria-label="Year">Year</label></div>
<div class="ff-el-input--content"><input type="text" name="input_text_txt_year" class="ff-el-form-control" data-name="input_text_txt_year" id="ff_5_input_text_txt_year" aria-invalid="false" aria-required="true"></div>
</div>
</div>
<div class="ff-t-cell ff-t-column-2" style="flex-basis: 33.33%;">
<div class="ff-el-group">
<div class="ff-el-input--label ff-el-is-required asterisk-right"><label for="ff_5_input_text_txt_make" aria-label="Make">Make</label></div>
<div class="ff-el-input--content"><input type="text" name="input_text_txt_make" class="ff-el-form-control" data-name="input_text_txt_make" id="ff_5_input_text_txt_make" aria-invalid="false" aria-required="true"></div>
</div>
</div>
<div class="ff-t-cell ff-t-column-3" style="flex-basis: 33.33%;">
<div class="ff-el-group">
<div class="ff-el-input--label asterisk-right"><label for="ff_5_input_text_txt_model" aria-label="Model">Model</label></div>
<div class="ff-el-input--content"><input type="text" name="input_text_txt_model" class="ff-el-form-control" data-name="input_text_txt_model" id="ff_5_input_text_txt_model" aria-invalid="false" aria-required="false"></div>
</div>
</div>
</div>
<div class="ff-el-group has-conditions ff_excluded">
<div class="ff-el-input--label ff-el-is-required asterisk-right"><label for="ff_5_input_text_ymm" aria-label="Vehicle Year, Make, Model?">Vehicle Year, Make, Model?</label></div>
<div class="ff-el-input--content"><input type="text" name="input_text_ymm" class="ff-el-form-control" data-name="input_text_ymm" id="ff_5_input_text_ymm" aria-invalid="false" aria-required="true"></div>
</div>
<div data-name="ff_cn_id_5" class="ff-t-container ff-column-container ff_columns_total_2 ">
<div class="ff-t-cell ff-t-column-1" style="flex-basis: 50%;">
<div class="ff-el-group">
<div class="ff-el-input--label ff-el-is-required asterisk-right"><label for="ff_5_input_text_color" aria-label="Color">Color</label></div>
<div class="ff-el-input--content"><select name="input_text_color" id="ff_5_input_text_color" class="ff-el-form-control" data-name="input_text_color" data-calc_value="0" aria-invalid="false" aria-required="true">
<option value="">- Select Closest Match -</option>
<option value="Beige">Beige</option>
<option value="Black">Black</option>
<option value="Blue">Blue</option>
<option value="Bronze">Bronze</option>
<option value="Brown">Brown</option>
<option value="Burgundy">Burgundy</option>
<option value="Champagne">Champagne</option>
<option value="Charcoal">Charcoal</option>
<option value="Cream">Cream</option>
<option value="Gold">Gold</option>
<option value="Gray">Gray</option>
<option value="Green">Green</option>
<option value="Maroon">Maroon</option>
<option value="Orange">Orange</option>
<option value="Pewter">Pewter</option>
<option value="Pink">Pink</option>
<option value="Purple">Purple</option>
<option value="Red">Red</option>
<option value="Silver">Silver</option>
<option value="Tan">Tan</option>
<option value="Teal">Teal</option>
<option value="Turquoise">Turquoise</option>
<option value="Unknown Color">Unknown Color</option>
<option value="White">White</option>
<option value="Yellow">Yellow</option>
</select></div>
</div>
</div>
<div class="ff-t-cell ff-t-column-2" style="flex-basis: 50%;">
<div class="ff-el-group has-conditions ff_excluded">
<div class="ff-el-input--label asterisk-right"><label for="ff_5_input_text_miles" aria-label="Mileage">Mileage</label></div>
<div class="ff-el-input--content"><input type="text" name="input_text_miles" class="ff-el-form-control" data-name="input_text_miles" id="ff_5_input_text_miles" aria-invalid="false" aria-required="false">
<div class="ff-el-help-message">Accurate mileage is best, but an estimate is fine</div>
</div>
</div>
</div>
</div>
<div class="step-nav ff_step_nav_last"><button type="button" data-action="prev" class="ff-btn ff-btn-prev ff-btn-secondary">Previous</button><button type="button" data-action="next"
class="ff-float-right ff-btn ff-btn-next ff-btn-secondary">Next</button></div>
</div>
<div class=" fluentform-step" data-name="form_step-5_19" style="width: 14.2857%;">
<div class="ff-el-group ff-custom_html steps-condensed-header" data-name="custom_html-5_20">
<p><img width="413" height="65" class="steps-condensed entered lazyloaded" src="/wp-content/uploads/2022/08/car-donation-step-4.svg" alt="car donation form step 4: finish"
data-lazy-src="/wp-content/uploads/2022/08/car-donation-step-4.svg" data-ll-status="loaded"><noscript><img width="413" height="65" class="steps-condensed" src="/wp-content/uploads/2022/08/car-donation-step-4.svg"
alt="car donation form step 4: finish"></noscript></p>
</div>
<div class="ff-el-group ff-custom_html group-title" data-name="custom_html-5_21">
<h4>Complete your donation.</h4>
</div>
<div data-name="ff_cn_id_6" class="ff-t-container ff-column-container ff_columns_total_2 ">
<div class="ff-t-cell ff-t-column-1" style="flex-basis: 50%;">
<div class="ff-el-group">
<div class="ff-el-input--label ff-el-is-required asterisk-right"><label for="ff_5_dropdown" aria-label="Do you have title?">Do you have title?</label></div>
<div class="ff-el-input--content"><select name="dropdown" id="ff_5_dropdown" class="ff-el-form-control" data-name="dropdown" data-calc_value="0" aria-invalid="false" aria-required="true">
<option value="">- Select -</option>
<option value="Yes">Yes</option>
<option value="No">No</option>
</select>
<div class="ff-el-help-message">Having a title increases the sale value and may be required in some states</div>
</div>
</div>
</div>
<div class="ff-t-cell ff-t-column-2" style="flex-basis: 50%;">
<div class="ff-el-group has-conditions ff_excluded">
<div class="ff-el-input--label asterisk-right"><label for="ff_5_input_text_14" aria-label="VIN Number">VIN Number</label></div>
<div class="ff-el-input--content"><input type="text" name="input_text_14" class="ff-el-form-control" data-name="input_text_14" id="ff_5_input_text_14" aria-invalid="false" aria-required="false">
<div class="ff-el-help-message">Required before pickup of most automobiles</div>
</div>
</div>
</div>
</div>
<div class="ff-el-group">
<div class="ff-el-input--label asterisk-right"><label for="ff_5_dropdown_3" aria-label="I'd like my donation to benefit">I'd like my donation to benefit</label></div>
<div class="ff-el-input--content"><select name="dropdown_3" id="ff_5_dropdown_3" class="ff-el-form-control" data-name="dropdown_3" data-calc_value="0" aria-invalid="false" aria-required="false">
<option value="">- Select -</option>
<option value="www" selected="">A participating Make-A-Wish Foundation® chapter near me</option>
<option value="alabama">Alabama - Make-A-Wish® Alabama</option>
<option value="washington">Alaska - Make-A-Wish® Alaska and Washington Chapter</option>
<option value="arizona">Arizona - Make-A-Wish® Arizona</option>
<option value="midsouth">Arkansas - Make-A-Wish® Mid-South</option>
<option value="sanfrancisco">California - Make-A-Wish® Greater Bay Area</option>
<option value="losangeles">California - Make-A-Wish® Greater Los Angeles</option>
<option value="sacramento">California - Make-A-Wish® Northeastern & Central California and Northern Nevada</option>
<option value="orange">California - Make-A-Wish® Orange County & the Inland Empire</option>
<option value="sandiego">California - Make-A-Wish® San Diego</option>
<option value="tricounties">California - Make-A-Wish® Tri-Counties</option>
<option value="colorado">Colorado - Make-A-Wish® Colorado</option>
<option value="connecticut">Connecticut - Make-A-Wish® Connecticut</option>
<option value="philadelphia">Delaware - Make-A-Wish® Philadelphia, Delaware and Susquehanna Valley</option>
<option value="midatlantic">D.C. Area - Make-A-Wish® Mid-Atlantic in the greater Washington D.C. area</option>
<option value="florida">Florida - Make-A-Wish® Central and Northern Florida</option>
<option value="southernflorida">Florida - Make-A-Wish® Southern Florida</option>
<option value="georgia">Georgia - Make-A-Wish® Georgia</option>
<option value="hawaii">Hawaii - Make-A-Wish® Hawaii</option>
<option value="idaho">Idaho - Make-A-Wish® Idaho</option>
<option value="illinois">Illinois - Make-A-Wish® Illinois</option>
<option value="ohkyin">Indiana - Make-A-Wish® Ohio, Kentucky, & Indiana</option>
<option value="iowa">Iowa - Make-A-Wish® Iowa</option>
<option value="kansas">Kansas - Make-A-Wish® Missouri and Kansas</option>
<option value="ohkyin">Kentucky - Make-A-Wish® Ohio, Kentucky, & Indiana</option>
<option value="texgulf">Louisiana - Make-A-Wish® Texas Gulf Coast & Louisiana</option>
<option value="midatlantic">Maryland - Make-A-Wish® Mid-Atlantic in the greater Washington D.C. area</option>
<option value="massri">Massachusetts - Make-A-Wish® Massachusetts and Rhode Island</option>
<option value="michigan">Michigan - Make-A-Wish® Michigan</option>
<option value="minnesota">Minnesota - Make-A-Wish® Minnesota</option>
<option value="midsouth">Mississippi - Make-A-Wish® Mid-South</option>
<option value="missouri">Missouri - Make-A-Wish® Missouri and Kansas</option>
<option value="southdakota">Montana - Make-A-Wish® South Dakota & Montana</option>
<option value="sacramento">Nevada - Make-A-Wish® Northeastern California and Northern Nevada</option>
<option value="southernnevada">Nevada - Make-A-Wish® Southern Nevada</option>
<option value="new-hampshire">New Hampshire - Make-A-Wish® New Hampshire</option>
<option value="newjersey">New Jersey - Make-A-Wish® New Jersey</option>
<option value="newmexico">New Mexico - Make-A-Wish® New Mexico</option>
<option value="syracuse">New York - Make-A-Wish® Central New York</option>
<option value="hudsonvalley">New York - Make-A-Wish® Hudson Valley</option>
<option value="newyorkcity">New York - Make-A-Wish® Metro New York</option>
<option value="albany">New York - Make-A-Wish® Northeast New York</option>
<option value="suffolklongisland">New York - Make-A-Wish® Suffolk County</option>
<option value="rochester-buffalo">New York - Make-A-Wish® Western New York</option>
<option value="charlotte">North Carolina - Make-A-Wish® Central and Western North Carolina</option>
<option value="eastnc">North Carolina - Make-A-Wish® Eastern North Carolina</option>
<option value="northdakota">North Dakota - Make-A-Wish® North Dakota</option>
<option value="ohkyin">Ohio - Make-A-Wish® Ohio, Kentucky, & Indiana</option>
<option value="oregon">Oregon - Make-A-Wish® Oregon</option>
<option value="pittsburgh">Pennsylvania - Make-A-Wish® Greater Pennsylvania and West Virginia</option>
<option value="philadelphia">Pennsylvania - Make-A-Wish® Philadelphia, Delaware and Susquehanna Valley</option>
<option value="massri">Rhode Island - Make-A-Wish® Massachusetts and Rhode Island</option>
<option value="southcarolina">South Carolina - Make-A-Wish® South Carolina</option>
<option value="southdakota">South Dakota - Make-A-Wish® South Dakota</option>
<option value="midsouth">Tennessee - Make-A-Wish® Mid-South</option>
<option value="easttennessee">Tennessee - Make-A-Wish® East Tennessee</option>
<option value="midtennessee">Tennessee - Make-A-Wish® Middle Tennessee in the greater Nashville area</option>
<option value="austintexas">Texas - Make-A-Wish® Central and South Texas</option>
<option value="northtexas">Texas - Make-A-Wish® North Texas</option>
<option value="texgulf">Texas - Make-A-Wish® Texas Gulf Coast & Louisiana</option>
<option value="utah">Utah - Make-A-Wish® Utah</option>
<option value="vermont">Vermont - Make-A-Wish® Vermont</option>
<option value="midatlantic">Virginia - Make-A-Wish® Mid-Atlantic in the greater Washington D.C. area</option>
<option value="virginia">Virginia - Make-A-Wish® Greater Virginia</option>
<option value="washington">Washington - Make-A-Wish® Alaska and Washington Chapter</option>
<option value="oregon">Washington - Make-A-Wish® Oregon (and Clark County, Washington)</option>
<option value="pittsburgh">West Virginia - Make-A-Wish® Greater Pennsylvania and West Virginia</option>
<option value="wisconsin">Wisconsin - Make-A-Wish® Wisconsin</option>
<option value="wyoming">Wyoming - Make-A-Wish® Wyoming</option>
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<h2>Before you go...</h2>
<h3>Not sure how to donate your car?</h3>
<p>Enter your email to get our PDF on exactly what you need to donate your car</p>
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</form>Text Content
1-855-278-9474CallDonate Now
* Why Donate
* Tax Info
* Donation Info
* Get rid of a car
* Titles & donation
* How to donate a car
* About
* Chapters
* Blog
* All donation articles
* Locations
* California
* New York
* Florida
* Texas
* All states
* F.A.Q.
YOUR CAR DONATION HELPS A LOCAL CHILD
Clara, 7 years old, wish to go on Disney Cruise, autoimmune disorder
DONATING A CAR IS FAST & FREE. CALL US TODAY!
1-855-278-9474
CALL OR DONATE BELOW.
close
7 Step Donation Form 2021 v002
* Start
* Name
* Phone
* Address
* Receipt
* Vehicle
* Comments
LET'S GET STARTED! WHAT TYPE OF VEHICLE WOULD YOU LIKE TO DONATE?
I'd like to donate a (click one)
Car
Cycle
Boat
RV
Other
These donations are accepted on a case-by-case basis. Pictures and proof of
ownership may be required.
Next
WHAT IS YOUR NAME?
First Name
Last Name
Is this donation in the name of a business or trust?
Yes
No
Business Name
PreviousNext
HOW CAN WE CONTACT YOU?
Best Phone Number
*
United States+1
*
*
United States+1
Our processing partner will call this number to schedule pickup
If needed, may we send text messages using the number above?
Yes
No
Email
Optional, but greatly helps us to communicate with you.
PreviousNext
PLEASE TELL US ABOUT YOUR PICK-UP LOCATION.
Pickup Address
Pickup Address Line 2
Pickup State
- Select
-AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of
ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew
HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth
DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth
DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Pickup Zip Code
Pickup City
PreviousNext
TELL US WHERE TO MAIL YOUR RECEIPT.
Do you need your receipt to be mailed to a different address than the pickup
address?
No
Yes
Mailing Address
Mailing Address Line 2
Mailing State
- Select
-AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of
ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew
HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth
DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth
DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Mailing Zip Code
Mailing City
PreviousNext
PLEASE TELL US MORE ABOUT YOUR VEHICLE.
Year
Year2021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904
Make
Make
Model
Model
Year
Make
Model
Vehicle Year, Make, Model?
Color
- Select Closest Match
-BeigeBlackBlueBronzeBrownBurgundyChampagneCharcoalCreamGoldGrayGreenMaroonOrangePewterPinkPurpleRedSilverTanTealTurquoiseUnknown
ColorWhiteYellow
Mileage
Accurate mileage is best, but an estimate is fine
PreviousNext
COMPLETE YOUR DONATION.
Do you have title?
- Select -YesNo
Having a title increases the sale value and may be required in some states
VIN Number
Required before pickup of most automobiles
I'd like my donation to benefit
- Select -A participating Make-A-Wish Foundation® chapter near meAlabama -
Make-A-Wish® AlabamaAlaska - Make-A-Wish® Alaska and Washington ChapterArizona -
Make-A-Wish® ArizonaArkansas - Make-A-Wish® Mid-SouthCalifornia - Make-A-Wish®
Greater Bay AreaCalifornia - Make-A-Wish® Greater Los AngelesCalifornia -
Make-A-Wish® Northeastern & Central California and Northern NevadaCalifornia -
Make-A-Wish® Orange County & the Inland EmpireCalifornia - Make-A-Wish® San
DiegoCalifornia - Make-A-Wish® Tri-CountiesColorado - Make-A-Wish®
ColoradoConnecticut - Make-A-Wish® ConnecticutDelaware - Make-A-Wish®
Philadelphia, Delaware and Susquehanna ValleyD.C. Area - Make-A-Wish®
Mid-Atlantic in the greater Washington D.C. areaFlorida - Make-A-Wish® Central
and Northern FloridaFlorida - Make-A-Wish® Southern FloridaGeorgia -
Make-A-Wish® GeorgiaHawaii - Make-A-Wish® HawaiiIdaho - Make-A-Wish®
IdahoIllinois - Make-A-Wish® IllinoisIndiana - Make-A-Wish® Ohio, Kentucky, &
IndianaIowa - Make-A-Wish® IowaKansas - Make-A-Wish® Missouri and KansasKentucky
- Make-A-Wish® Ohio, Kentucky, & IndianaLouisiana - Make-A-Wish® Texas Gulf
Coast & LouisianaMaryland - Make-A-Wish® Mid-Atlantic in the greater Washington
D.C. areaMassachusetts - Make-A-Wish® Massachusetts and Rhode IslandMichigan -
Make-A-Wish® MichiganMinnesota - Make-A-Wish® MinnesotaMississippi -
Make-A-Wish® Mid-SouthMissouri - Make-A-Wish® Missouri and KansasMontana -
Make-A-Wish® South Dakota & MontanaNevada - Make-A-Wish® Northeastern California
and Northern NevadaNevada - Make-A-Wish® Southern NevadaNew Hampshire -
Make-A-Wish® New HampshireNew Jersey - Make-A-Wish® New JerseyNew Mexico -
Make-A-Wish® New MexicoNew York - Make-A-Wish® Central New YorkNew York -
Make-A-Wish® Hudson ValleyNew York - Make-A-Wish® Metro New YorkNew York -
Make-A-Wish® Northeast New YorkNew York - Make-A-Wish® Suffolk CountyNew York -
Make-A-Wish® Western New YorkNorth Carolina - Make-A-Wish® Central and Western
North CarolinaNorth Carolina - Make-A-Wish® Eastern North CarolinaNorth Dakota -
Make-A-Wish® North DakotaOhio - Make-A-Wish® Ohio, Kentucky, & IndianaOregon -
Make-A-Wish® OregonPennsylvania - Make-A-Wish® Greater Pennsylvania and West
VirginiaPennsylvania - Make-A-Wish® Philadelphia, Delaware and Susquehanna
ValleyRhode Island - Make-A-Wish® Massachusetts and Rhode IslandSouth Carolina -
Make-A-Wish® South CarolinaSouth Dakota - Make-A-Wish® South DakotaTennessee -
Make-A-Wish® Mid-SouthTennessee - Make-A-Wish® East TennesseeTennessee -
Make-A-Wish® Middle Tennessee in the greater Nashville areaTexas - Make-A-Wish®
Central and South TexasTexas - Make-A-Wish® North TexasTexas - Make-A-Wish®
Texas Gulf Coast & LouisianaUtah - Make-A-Wish® UtahVermont - Make-A-Wish®
VermontVirginia - Make-A-Wish® Mid-Atlantic in the greater Washington D.C.
areaVirginia - Make-A-Wish® Greater VirginiaWashington - Make-A-Wish® Alaska and
Washington ChapterWashington - Make-A-Wish® Oregon (and Clark County,
Washington)West Virginia - Make-A-Wish® Greater Pennsylvania and West
VirginiaWisconsin - Make-A-Wish® WisconsinWyoming - Make-A-Wish® Wyoming
Does it run and drive? Are there any mechanical issues? Other comments or
concerns?
Previous
Complete Donation
Help children in your local community
Get a great tax deduction
Don't waste time or money trying to sell your vehicle
Accepting most vehicles regardless of condition
See How Easy It Is
Excellent
4.8 out of 7000+ reviews received
THANK YOU FOR THE OPPORTUNITY TO MAKE A CHILD'S WISH COME TRUE.
Over the years we have donated 4-5 vehicles to Wheels for Wishes and each time
we are filled with a sense of purpose. We are so grateful for...
EASY PROCESS
Happy to be able to help a great organization! Wheels for wishes makes the
donation process very easy. They explain each step and let you know exactly what
paperwork is needed...
YES, YOU SHOULD DONATE YOUR CAR!
Both the process online and the vehicle pickup were easy. I know a 10 year old
girl who recovered from cancer, and whose whole family was then treated to a
week in Hawaii by Make A Wish...
“Happy to be able to help a great organization! Wheels for wishes makes the
donation process very easy.”
Excellent
4.8 out of 7000+ reviews received
THANK YOU FOR THE OPPORTUNITY TO MAKE A CHILD'S WISH COME TRUE.
Over the years we have donated 4-5 vehicles to Wheels for Wishes and each time
we are filled with a sense of purpose. We are so grateful for...
EASY PROCESS
Happy to be able to help a great organization! Wheels for wishes makes the
donation process very easy. They explain each step and let you know exactly what
paperwork is needed...
YES, YOU SHOULD DONATE YOUR CAR!
Both the process online and the vehicle pickup were easy. I know a 10 year old
girl who recovered from cancer, and whose whole family was then treated to a
week in Hawaii by Make A Wish...
“Happy to be able to help a great organization! Wheels for wishes makes the
donation process very easy.”
THREE EASY STEPS
Donate your vehicle and get easy free towing.
Get a tax-deductible receipt for your donation.
Your car donation helps local children!
WE PICK UP VEHICLES FOR FREE NATION WIDE!
Wheels for Wishes benefits Make-A-Wish chapters in various locations throughout
the United States, helping grant wishes for children in their local communities
who have been diagnosed with life-threatening medical conditions.
Find A Local Chapter
OUR MISSION
Wheels For Wishes believes that every child, no matter his or her health,
deserves a chance to have a happy and fulfilling childhood. By donating your
vehicle, we are able to raise funds to support Make-A-Wish chapters in locations
throughout the country, helping grant wishes to children with life-threatening
medical conditions. A wish is an opportunity for a child to focus on something
other than their medical routines, and be a kid again.
$115,688,707
As of August 2024, based on the average cost of a wish, donors like you have
helped Wheels for Wishes to grant more than 13,789 wishes and counting.
THE STARS OF WHEELS FOR WISHES!
YOU MAKE CHILDREN'S DREAMS A REALITY
Ethan, 6 years old, wish to be a garbageman, cystic fibrosis
Chloe, 8 years old, wish to visit a dude ranch, leukemia
Areice, 5 years old, wish to be a pirate, cancer
Jack, 14 years old, wish to ski in Aspen, cancer
Our matching gift sponsors Learn More
Donate Now To Help Make A Child's Wish To Come True
WHAT TYPES OF VEHICLES CAN BE DONATED?
DONATE YOUR CAR OR TRUCK AND HELP LOCAL KIDS
WHEELS FOR WISHES ACCEPTS BOATS TOO!
LEARN ABOUT DONATING A MOTORCYCLE
DISCOVER HOW TO DONATE YOUR OLD RV OR MOTORHOME
You might think of your vehicle as nothing more than a “junk car”, but to the
“wish kids” of Make-A-Wish, your donation can give them a life-changing
experience. Join others in your community who have been donating their cars to
benefit children who want to live their dreams.
Proceeds from donated cars go to Wheels For Wishes, a tax-exempt charity under
Section 501(c)(3) of the IRS Code, benefiting your local Make-A-Wish
Foundation®. Since 2010, Wheels For Wishes has donated over $115 million toward
granting over 13,789 wishes for local children.
Donate Now
Many companies match employee donations. You can double your impact for local
children at no extra cost to you!
Excellent 9.3 out of 10
5775 Wayzata Blvd.
Suite 700
St. Louis Park, MN, 55416
Phone: 1-855-278-9474
EIN: 26-3408048
Why Donate
Tax Info
Donation InfoGet Rid Of A CarTitles & DonationHow To Donate A Car
AboutChaptersBlogAll Donation Articles
LocationsCaliforniaNew YorkFloridaTexasAll States
FAQ
CDF also runs the following programs:
Wheels for Wishes benefiting Make-A-Wish®, Wheels for Wishes & Wellness
benefiting local children's hospitals and charities, Vehicles for Veterans
benefiting disabled veterans, and Animal Car Donation benefiting animal rescue
organizations.
Read More
CDF's mission is to help these benefitting charities fulfill their missions with
proceeds from CDF's car donation programs. CDF and all benefitting charities are
separate and unaffiliated 501c organizations.
© 2009 - 2024 Wheels For Wishes (Car Donation Foundation)
A federally registered 501(c)(3) non-profit organization
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