Donate Your Vehicle
City Life Wheels uses donated vehicles to help teach Indianapolis teens basic automotive maintenance and repair skills. Donated cars are eventually sold at auction to provide funding for the City Life Wheels programs.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
What is the best way to contact you?
Cell phone-text
Cell phone-call
Home phone
E-mail
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is the vehicle located at the address above?
*
Yes
No
Vehicle Location Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How did you hear about City Life Wheels?
*
Do you have the title for the vehicle you are donating?
*
Yes
No
VIN Number
*
Year
*
Make
*
Model
*
What color is the vehicle?
*
Enter Approximate Mileage *
*
How would you rate the body of the vehicle?
*
Excellent
Good
Fair
Poor
When was the last time it started and ran?
*
Any significant issues with the engine?
*
Any significant issues with the transmission?
*
Have you ever been told it has a head gasket leak?
*
Yes
No
Who diagnosed the head gasket leak?
Any other significant problems with the car that you are aware of?
*
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