Donate to our Cause

To make a monetary donation, please send your gift to the following address:

NOAHS ARC
223 Wall Street
Suite 358
Huntington, NY 11743

Please use the following form to donate your car, truck, boat, trailer or RV.

Vehicle Donation Form

First Name:

Last Name:
Daytime Phone: ( )
Alternate Phone: ( )
Email:
In Aid of:

 

Vehicle Location:
Address:

City:   
State:    
Zip:  
* Michigan residents need to contact the charity directly
to pledge their donation. 

 

Vehicle Information:
Year:
Make:
Model:
License Plate:
VIN:
 

Damage to Body (Describe):
 

Damage to Interior (Describe):
 

Does the vehicle run/drive?
 

Do you have the Certificate of Title?

 

Special Instructions or Other Comments:
   

 
 
 
© 2007 NOAHS ARC