Worth Auto Donation Form
If you are interested in donating your vehicle, you can either: Print off the above PDF form that can be filled out and left with your vehicle or Fill out the following online form which will initiate a call back.
Name of Registered Owner of Vehicle *
Name of Registered Owner of Vehicle
AMVIC has mandated that all vehicle transactions must have the seller/donor's drivers licence.
Name of Secondary Owner
Name of Secondary Owner
FULL Mailing Address *
FULL Mailing Address
Note: This is where your tax receipt (if applicable) will be mailed to so please enter your complete information.
Day Time Phone Number *
Day Time Phone Number
Secondary Phone Number
Secondary Phone Number
Select all that apply to this vehicle *
If you are not able to drop off your vehicle, what days are most convenient for vehicle pick up?
Best timeframe for pick ups (if applicable)
Do we have your permission to contact you via email for the following: (check all that apply) *
Agreement *
By submitting this form, I declare that I am the legal owner of this vehicle and release it to Youth for Christ Association /Worth Auto.