Vehicle Donation Form

Your donation will benefit a family

in need of your help.


On behalf of our clients, thank you for the vehicle you wish to donate and for thinking of The Julian Center.

After completing and submitting the following form, a representative of The Julian Center will contact you. 

Please note, the title and all sets of keys to the vehicle must be available when your vehicle is picked up or dropped off.


We also thank Christy's of Indiana, Inc. for their long time partnership with The Julian Center and participation in this program.
 
 
 Donate vehicle

 
= required field

DONOR INFORMATION

 
 
 
 
 
 
 
(-
 
     

VEHICLE INFORMATION

 
 
 
  Automatic or manual transmission?:

 
 
Does your vehicle
currently run?  

 

 
 
     
 In an effort to quell spam from this form, please type the following code before clicking submit.
 
 Security code
 
 
     
   


 
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If you need help, call The Julian Center 24-Hour Crisis Line at (317) 920-9320.