Welcome to 1877 End of Life Vehicles / affiliate information / application

Charity / Organization Registration Form

Company Information

Charity / Organization *

Province / State

Contact Name*

Postal / Zip Code*

Address*

Suite / Apt

City*

Country

Phone*

Extension

Email*

Charity Tax Number

Name of Recycler / Affiliate that you already have a relationship with. (1 only please, otherwise you will be assoicated with the head office and pick ups will be dispatched from there.)

Just a few of the reasons to join: Joining is easy as 1-2-3! Send in this Registration form. Receive more donations and be part of the environmental solution! Designed and run by Certified Auto Recyclers who will recycle the vehicle in an eco-friendly manner! Let us Drive those Donations to Your Organization!

By completing this form:
	I am applying for representation of my Charity on the CharityCar.ca/CharityCar.us and 1877EndOfLifeVehicles.com site. I do have the legal right to sign my Charity / Organization up for this type of program.
Moreover, I agree to:
	Post a Vehicle Donation page and link to the customized form 1877EndOfLifeVehicles.com has built for me so that more donors can see the opportunity to donate their high-polluting older vehicles and recycle them in an environmentally friendly manner.
	If we are a Charity that issue Tax Receipts we will process the donations we get and send the tax receipts to the donors from the CharityCar.ca/CharityCar.us and 1877EndOfLifeVehicles.com websites.

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