--Select-- 20th Century Automotive Endowment Fund 9th Life Hawaii A Place For Teens A Room For Joy A Safe Place A Simple House of Sts. Francis and Alphonsus Aberg Center for Literacy Ablechild Abundant Life Restoration Ministries Inc. Act Now! Acts of Benevolence, Corp Adams Youth Center Adoption Healing Advocates 4 Animals Feline Rescue & Rehabilitation Inc African Aid Organization, Inc. African American Mutual Assistance Network Inc. African People's Education & Defense Fund Agape Home, Inc. AIDS Project East Bay Airedale Rescue Group of South Carolina Al-Maun Fund ALIE Foundation, Inc All Dog Rescue, Inc All Star Pet Rescue Inc Alley's House Alton Volunteer Emergency Corps Alzheimer's Association Connecticut Chapter Amagansett Historical Association America for Youth Foundation American Baptist Churches of the Rocky Mountains American Brain Tumor Association American Foundation for Suicide Prevention American Legion Post 40 American Library Association American Red Cross - NH American Red Cross of Northeastern California American Renewal Foundation American River Conservancy Angel on Call/Stardust Building Supplies Animal Friends Foundation Inc Animal Society, Inc. Animal Welfare Association Animal Welfare Society of Howard County, MD Animal Welfare Society, Inc. Annunciation Greek Orthodox Cathedral of NE Antiochian Orthodox Christion Archdiocese, Depart of Youth Ministry Antolino Family Wellness Center Apache Junction Horse Rescue AquAlliance Aquinas Academy Arms Wide Open CDC Arrowhead Neuroscience Foundation, Inc. AS220 Asian Services In Action, Inc Asians To the World Asperger's Association of New England Assistance League of Temecula Valley Assisted Living Center, Inc. Autism Spectrum Resource Center Baltimore Animal Rescue & Care Shelter BasicNecessities Inc. Battenkill Conservancy - New York Beaks and Noses Inc Benedictine Order of St. John the Beloved Best Friends Animal Society Big Brothers Big Sisters of the Greater Seacoast Billerica Cat Care Coalition Birthright of Seattle Boston Area Rape Crisis Center Boston Jewish Music Festival Boys & Girls Club of Lenoir County Boys & Girls Club of Vineland Boys and Girls Club of South Park Bradford Jonnycake Center Bread & Roses Brennan Center for Justice Bridges Domestic & Sexual Violence Support Briteside Adult Day Center Inc. Broken Tail Rescue Butte Environmental Council Calvary Lutheran School Cancer Legal Line Cape Arago Audubon Society Care 4 My Lambs Inc Caregiver Volunteers of Central New Jersey-A Faith, Action Program Caring For Creatures Foundation Carmen Pampa Fund CASA of Harford County Casey Cares Foundation Cat Adoption and Rescue Efforts, Inc. Cat Angel Network Inc Catholic Schools of Broome County CATS Northeast, Inc. CATSNAP Catty Shack Ranch Wildlife Sanctuary Cedar Springs Waldorf School Central Catholic St. Nicholas School Chabad Center of Natick Inc. Chesapeake Shakespeare Company Child Evangelism Fellowship of North Central Indiana Children Affected By AIDS Foundation Children of the Nations Children's Rescue Outreach International Childrens Community School Chinese Children Adoption International Chinese Service Center-USA Chocolate Chip Dalmatian Assistance League Choices Interlinking for Youth Christian Fellowship Outreach Mission Inc. Christian People Pulling Together International City of Miracles CITYstage Cleveland Christian Foundation Cocker Spaniel Adoption Center, Inc Colonial Baptist Church Colorado Center for Hospice & Palliative Care Colorado Cross Disability Coalition Colorado Honor Band Association Colorado Service Dogs Inc Comic Book Legal Defense Fund Community Care Services Community Marriage Builders Community Nutrition Resources Community Resource Center Community Services for Children, Inc. Community Thrift, Inc. Community Youth Services Companion Animal Rescue Alliance Companion Animals in Retirement Companion Critters, Inc. Concord Carlisle Scholarship Fund Congregation Agudas Achim Congregation Beth Ahm Congregation of Marians of the Immaculate Conception Connecticut Audubon Society Center at Glastonbury Connecticut Center for Child Development Cooperstown Medical Center Foundation Cozy Cat Cottage Adoption Center Cross-Lines Community Outreach, Inc. Crossroads Youth Ministries of Parker County Cuz We Care, Inc D.I.V.I.N.E. Institute Danbury Animal Welfare Society Defeat the Street Delaware Pro Life Coalition Democracy North Carolina Dial Inc. - a Center for Independent Living Disabled American Veterans Department of Tennessee Disaster and Wilderness Ground Searchers Discover Technology Discovery Eye Foundation Doberman Rescue of North Texas Dog's Town Coonhound Rescue, Inc. Dogs Deserve Better Dogs for the Deaf Dream Power Animal Rescue Foundation Duanesburg Area Community Center earthtouch Edna Martin Christian Center ElderPet Emmanuel's House Eternal Life Ministries Faith Christian School Faith in Action Elder Outreach Family & Children's Service Inc of Monmouth County Family Life & Marriage Enrichment Family Violence & Rape Crisis Services Feel Better Kids Inc. Feminist Women's Health Center FeralCare Inc. Ferrets Unlimited Ferret Shelter Fidos For Freedom, Inc. Finger Lakes SPCA, Inc First Amendment Project Folsom Pioneers, Inc. Foodnet Forever Home Rescue New England Forgotten Friends Pet Rescue, Inc. Fox Chase Cancer Center Freedom Guide Dogs For the Blind Freedom House Fresh Start Community Services Friends of Autistic People, Inc. - FAP Friends of Felines Inc. Friends of Live Oak Charter School Friends of the Cumberland Trail State Park Friends of the Kern County Animal Shelters Foundation Friends of the Lawrence Library Friends of the North Plains Public Library Friends of the River Friends of Tiverton Libraries Friendship Ventures Furrever Friends Rescue & Volunteers Inc. Gail P. Ramos Lung Cancer Foundation Gentle Touch Animal Sanctuary George H & Irene L Walker Home for Children Inc. Georgia AGAPE, Inc. Georgia Right to Life Educational Trust Fund Georgia Transplant Foundation Girl Scouts of the Green and White Mountains Girls in Action Gishrei Shalom Jewish Congregation Global Outreach Glory Tabernacle Christian Center God's Ministry to Veterans Good Counsel, Inc. Good News Home for Women Good Shepherd Foundation Great Neck Community Fund Greater Cleveland Youth for Christ Green Beret Foundation Green Valley Church GREY2K USA Education Fund Griffith Centers for Children Inc Groton Dunstable Education Foundation, Inc Guide Dogs of America-CT, RI, Western MA Guiding Eyes for the Blind Habitat for Cats Hallelujah International Ministries Harlem Dowling-West Side Ctr For Children & Family Services Heal With Love Foundation Healing Journeys Healing the Children Healthy Beginnings Heart of the Beast Puppet & Mask Theatre Hebrew Senior Life Helping Hands: Monkey Helpers for the Disabled Hendrick Hudson Community Educational Foundation Hepatitis B Foundation Herald Cares HHT Foundation International High Point Treatment Center Inc. Highlands Museum & Discovery Center Hindu Swayamsevak Sangh USA Inc. Homeland Security Policy Institute Group, Inc. Homeward Pet Adoption Center Hope Haven Gospel Mission HorseNet Inc Horsesavers Houston Furniture Bank Humane Society of Cherokee County Humane Society of McCormick County Humanity Outreach Partners Enterprises: HOPE Unites India Development & Relief Fund Inspire Hope Institute Inc. Institute of Universal Learning Karim Foundation Insulin Pumpers Interfaith Neighbors Inc Interfaith Volunteer Care Givers of Greater New Haven International Match Safe Association International Outreach Ministries International Teams International Women's Health Coalition Izaak Walton League of America Jaycee Arms Resident Council, Inc Jeanne Geiger Crisis Center, Inc. Jewish Enrichment Center Jireh Ministries Foundation, Inc. Joseph Adetula Foundation, National Heritage Foundation Joslin Diabetes Center KARE Crisis Nursery Kaumakapili Church KC Retired Greyhounds As Pets Kempe Children's Foundation KID smART Kootenai Humane Society Krempels Center Lake County Council on Aging LaMeD Academy of Malchi-Zedek Lechaim Charities, Inc LifeStream LifeWise Community Projects, Inc. Lift Every Voice and Sing Gospel Festival & Fair LightBridge Hospice Community Foundation Lighthouse Boxer Rescue Lighthouse Shelter Inc. Lights for Life Living Word Fellowship Lucky Horse Equine Rescue Lucky Orphans Horse Rescue Lucy Daniels Center for Early Childhood Lupus Alliance New York Southern Tier Affiliate Lupus Alliance of America MI, IN Affiliate Lupus Alliance of America, Western New York Affiliate Lycee Francais La Perouse MAB Community Services (Formerly MA Assoc for the Blind) MARCH, Inc. of Manchester Marillac Social Center Marine Science and Nautical Training Academy - MANTA Martineztown House of Neighborly Service Masonic Angel Foundation, Inc Mass Community Health Services Massachusetts Association of Conservation Commissions Matthew House Mayan Families Medical Missions Foundation Medicines for Humanity Memorial Assistance Ministries Men Stopping Violence Mentor Corps Mercy Housing & Shelter Corp Mesothelioma Research Foundation of America Mid-Atlantic Asthma Foundation Mid-Atlantic German Shepherd Rescue Mid-Atlantic Great Dane Rescue League Miles of Smiles Ministries of Aides International Minorities in Broadcasting Training Program Mothers Rebuilding Atlanta Multiple Myeloma Research Foundation Multiple Sclerosis Foundation Multiple Sclerosis Quality of Life Project Nak Union Enhancement Program NAMI Greater Seattle Nanticoke Lenni-Lenape Indians of New Jersey National Multiple Sclerosis Society-Greater Connecticut Chapter NationsTouch Inc. New Beginnings Pet Rescue New Covenant Christian Association, Inc. New Directions for People with Disabilities New England Center for Homeless Veterans New England Network for Child Youth and Family Services New Hampshire Art Association New Hampshire Children's Trust New Hope For Women New Image Youth Center New Life Children's Home, Inc. New Mexico Family Network New York Revels Newington Student Assistance Fund Next Door Solutions to Domestic Violence Nicholas House, Inc No More Homeless Pets in Utah North Carolina Victim Assistance Network Northeast Nebraska Humane Society Northwest Animal Rights Network NOVACO Inc. Obesity Prevention Center For Children & Youth Inc. Open Door Animal Sanctuary Operation Homefront Opportunity Works Orangutan Foundation International Order of AHEPA Chapter 286 Oregon Coalition Against Domestic & Sexual Violence Oregon Disaster Medical Team Orphans of the Storm Our Neighbors' Table P A W S for People Palm Beach Zoo Pancreatic Cancer Action Network, Inc. Partnership for Families, Children and Adults Partnerships Center for Adult Day Care Pathways to College Patients Against Lymphoma PAWS - Connecticut Pelizaeus-Merzbacher Disease (PMD) Foundation Pennsylvania SPCA Pet Tender's Foundation PETS Inc Adopt-A-Pal Philippine Center of Ventura County Power Paws Assistance Dogs Powerful Schools Prevent Blindness Tri State Prevent Child Abuse St. Joseph County Project Assist Citizens in Trouble (PACT) Project Educate Africa Inc. Project Future Inc. Project Have Hope Prudence Crandall Center for Women Public Health Foundation - Diabetes Explorer Education Foundation Pulmonary Fibrosis Foundation Quest to Walk Quincy Crisis Center Rabbit Haven Radio Reading Service of the Rockies Redemption And Human Development Ministries Redlands First United Methodist Church Reliance House Rescued Love Inc. Rescued Pets Are Wonderful Rescuties Animal Rescue, Inc Resource Center for Independent Living (RCIL) Rethinking Schools LTD Rio Vista CARE Rise Above Foundation Rumford Group Homes, Inc. Safe Harbor Animal Sanctuary Saint Barbara Greek Orthodox Church Salem Baptist Church of Apex, NC San Antonio Youth Literacy San Diego Hua Xia Chinese School Sandy Rollman Ovarian Cancer Foundation Inc. Schoharie River Center Inc. Scott County Humane Society SE Works, Inc. Search for a Cure SEEDS SEMCOA Inc. Sewa International - USA Shelton Land Conservation Trust, Inc. Shepard Meadows Therapeutic Riding Center Inc. Shepherds Theological Seminary Sickle Cell Disease Assoc of America Kansas City Chapter Sierra Foothill Conservancy Sierra Wildlife Rescue Sionfonds for Haiti Society for the Preservation of Roman Catholic Heritage Sojourner Truth Multicultural Art Center Solar Cookers International Solid Rock Youth Corps. International Inc. Solving Kids' Cancer Inc Sonoma Valley Mentoring Alliance Sounds of Concord Barbershop Chorus South Kansas City Outreach South Sound Critter Care Southeast Regional Network Southern Tier Alternative Therapies Inc. (STAT) Spandana Foundation Special Bunny Special Parents Information Network St Luke's Eldercare Solutions of Central CT St Nicholas Catholic Church St Paul's Episcopal Church St Peter's Orphanage St Philip House St Vincent De Paul Center St Vincent De Paul, New York Council St. Edward School St. Luke's LifeWorks Strays and Others Inc Student Action with Farmworkers Sudden Arrhythmia Death Syndromes Foundation (SADS) Suncreek United Methodist Church Support Africa HIV AIDS Crisis (SAHAC) T.A.I.L.S. (The Alliance In Limiting Strays) Tabor Community Services Taguchi Social Action Fund Jefferson Unitarian Church TASK-9, Inc. Temple Adat Elohim Tender Care Animal Rescue The Albert Schweitzer Fellowship Inc. The Alcove Center for Grieving Children and Families The Bowling Foundation The Cat House The Children's Community Programs of CT, Inc. The Connecticut Rivers Council - BSA The Douglas Center The Dwelling Place Inc. The Feline Rescue Association The Garden of the Child Inc. The Gift of Sunshine Inc The House That Wisdom Built The JF Kapnek Trust The Kohn Foundation The Life Center of Hernando The Life of Jesus Organization The Mar Thoma Church Staten Island The Negro Spiritual Scholarship Foundation The Network/La Red The Oasis Animal Sanctuary The R.O.S.E. Fund The River Fund The Ruffian Foundation The Sharing Community, Inc. The Thursday Boys The Village for Families and Children The Wilkinson Center The Youth Light Foundation Inc. Top Banana Education Foundation Town Cats Inc Trans World Radio Transformations Tree of Life Montessori Charter School Trinity Lutheran Church Trinity Presbyterian Church True Passion Trumbull County YMCA Turning Points Network UNH Therapeutic Riding Program Unitarian Universalist of Lower Bucks (UUFLB ) United States Veterans Initiative University of Maryland School of Medicine Foundation Vasculitis Foundation Veterans for Common Sense Veterans Green Jobs Veterans in Christ Corporation Veterans Lodging, Inc. Visiting Nurse Association of Boston & Affiliates Vizsla Rescue Haven Voices in Harmony, San Jose Chapter of SPEBSQSA Volunteer Guardianship One-on-One, Inc. Waccamaw Youth Center Wallingford Foundation Watertown Boys and Girls Club West Seattle Booster Club West Suburban Humane Society No Kill Animal Shelter Westborough Community Land Trust Western Michigan Teen Challenge Westminster Presbyterian Society Wild Horse Foundation Wild Treasures: Sustainability, Naturally Wildbird Recovery Women Empowering Women, Inc. (WOW) WomenSafe Inc World Population Balance Wycliffe Bible Translators Yosemite Conservancy Youth Infusion Inc. YouthPride, Inc.
Owner's Name:
Email Address:
Street Address:
City:
State:--Select-- --- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code:
Re-type Zip Code:As a method of reducing spam and confirming that this form is being submitted by a human, we ask that you please confirm the zip code you entered above.
Is this vehicle at adifferent location?Yes
Contact Name:
Daytime Phone:
Evening Phone:
Car, Truck or Van Boat or Jetski Motorcycle Snowmobile Motorhome
Year:
Make:
Model:
Color:--Select-- OtherBeigeBlack BlueBrownBurgundy CharcoalGoldGray GreenOff WhiteOrange PinkPurpleRed SilverTanTurquoise WhiteYellow
# of Doors:
VIN #:
Do you have the title?--Select--YesNo
Approx. Mileage:
Does the vehicle run?--Select--YesNo
Condition (i.e. any damages):
Boat Year:
Boat Make:
Boat Model:
Boat Color:--Select-- OtherBeigeBlack BlueBrownBurgundy CharcoalGoldGray GreenOff WhiteOrange PinkPurpleRed SilverTanTurquoise WhiteYellow
Boat Size:
Boat Type:
Engine Size:
Boat VIN #:
Is the trailer included?--Select--YesNo
Trailer VIN#:
Do you have titlefor the trailer?--Select--YesNo
Boat Condition (i.e. any damages):
Donation Line, LLC
Toll-free phone: 1-888-448-3345
Fax: (860) 228-9037
E-Mail: donate@donationline.com