India Development and Relief Fund

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  India Development and Relief Fund (IDRF) - Vehicle Donation Form

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E-mail the form to: idrfhq@yahoo.com


Donor Information:

Date:

Name :

Address :

City :

State :                            Zip:

Phone No. :                            Alternative No.:

Vehicle Information:

Year :                       Make:

Model:

License # :                                      VIN #:                                         ODOMETER: ____________________

Please check all that apply:

2-Door 4-Door Station-Wagon 4-Wheel-Drive

Does the vehicle run and drive as is? Yes No,

explain:

Do you have the Title? Yes No,

explain:

Please note problems/damage:

Engine

Trans.

Tires

Body

Other

None

Special Instructions:





IDRF., 5821 Mossrock Drive,
North Bethesda,
MD 20852-3238,
USA.
Phone: 301-704-0032, Fax: 301-984-2127, E-mail: idrfhq@yahoo.com

Published on: 2004-02-16 (3204 reads)

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