Neighborkeepers Car Donation Program

Neigbhorkeepers and Good News Garage have a partnership.

If you have any questions about this program, please contact Hal Colston at 802.846.7292.

Please type "THIS DONATION IS FOR NEIGHBORKEEPERS"in the comment section of this form. Also call Hal at the appove phone number so he knows you make a donation.

* denotes a required field

First Name*:
Last Name*:
Street Address*:
City*:
State*:
Zip Code:
Home phone:	( ) -
Work phone:	( ) -
Extension:
Cellphone:	( ) -
Email address*:
Year*:
Mileage (Comments not needed)*:
Make*:
Model*:
Body Style*:
Number of doors*:
Color*:
Number of Cylinders*:
Transmission Type*:	AutomaticManualUnknown
Drive Wheels*:	FrontRearAll-Wheel DriveFour-Wheel Drive
Is the vehicle currently being driven?*:	YesNo
How long has it not been driven?:
Why is it not being driven?:
Is the vehicle drivable?*:	YesNo
Describe the body condition*:
What repairs are needed?*:
What condition are the tires in?*:	ExcellentGoodPoor
Do you posses a valid title?*:	YesNo
Is the vehicle registered?*:	YesNo
Does the vehicle have a valid inspection sticker?*:	YesNo
Is your vehicle insured?*:	YesNo
Can you deliver the vehicle to Good News Garage?*:	YesNo
If you need it towed, where is it located?:
How did you hear about Good News Garage?*:
Name of paper, television station, radio station...:
Comments: