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CityTeam Ministries Vehicle Donations
2304 Zanker Road, San Jose, CA 95131
Phone: 408.232.5654
Armando Cruz, Program Manager:
acruz@cityteam.org
Sandra Talley, Administrative Assistant:
sbrowning@cityteam.org
  CityTeam Home > San Jose > Vehicle Donations > Donation Form
 
Online Vehicle Donation Form

*Required Information

Personal Information:
*Name:
*Address:
*City:
*State/Zip:
/
*Phone:
*E-mail:


Vehicle Information:
*Year:
*Make:
Model:
License:
*Mileage:
*Registered:
yes    no
*Registration Expiration Date:
   
Damage to Body:
(Please describe)
   
Interior Damage:
(Please describe)
   
*Does the vehicle run/drive?:
   
Special instructions or other comments: