KIDSAFE CT
Exchange Club Center for the Prevention of Child Abuse of CT, Inc
 
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To get the vehicle donation process going, please fill in this form and submit it. Thank you!
Name:
Address:
City:
State:    Zip:
Phone:
Email:

Please fill in the information below about your vehicle.
Year:   Make:    Model:
Is the vehicle currently registered?  Yes    No
Can you drop off the vehicle?  Yes    No
Estimated miles on the vehicle:


Please describe the condition of the vehicle below - THANKS!:

KIDSAFE CT - 19 Elm St. - Rockville, CT 06066 - 860-872-1918 - Fax 860-872-8066 - e-mail us - Directions
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