Benefits of Donating
Online Donation Form
FAQ

Contribute Your Car to NHPTV

Vehicle Donation Form

* = Required Fields

Your Information
Title:
* First Name:	MI: * Last Name:
* Email:
* Daytime Phone:	Ext: Evening Phone:
* Address:
* City:	* State: * Zip:

Vehicle Information
Vehicle Type:	Year: Mileage:
Make:	#Doors:
Model:	Color:
VIN:
Is the vehicle drivable? Yes No Do you have the title? Yes No
What is the general condition?
Any special instructions?
Please fill out the following if you are contributing a boat.
Boat Type:
Boat Size:
Engine Size:
Trailer Included?	Yes No
Trailer VIN:

Other/Optional

Why did you decide to give your car to NHPTV?

How did you hear about this vehicle donation program?

Comments:

All donated vehicles must have a title, and be free and clear of any liens. If your title has been lost, please contact the New Hampshire Department of Motor Vehicles to obtain a duplicate.

All donated vehicles must be whole, have an engine and four inflated tires. Please remove all personal items, your registration and license plates from the vehicle prior to scheduled date of pick up.

All donated boats must be whole, and able to be moved via trailer. Please remove all personal items prior to pick up.

On behalf of all of us at NHPTV, thank you for your generous gift.

Contribute Your Car to NHPTV

Vehicle Donation Form

Your Information

Vehicle Information

Other/Optional