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Which Capitol Ministries area do you want your donation applied to?

Ministry Fund:

Contact Information

First Name:

Last Name:

Address:

(addr. line 2, opt.)

City:

State:

Zip:

Telephone:

Email:

Item Information

Type of Donation:

Car :: Boat :: RV :: Land :: Inventory

Jewelry :: Antiques :: Artwork :: Coins :: Other

Item Location
Same as contact address above

Address:

(addr. line 2, opt.)

City:

State:

Zip:

Comments about Gift:

Additional Information for Automobile/RV Donations

Make:

Model:

Year Manufactured:

Body Type:

Any Damage? Yes   No

Mileage:

VIN Number:

Is there a title available?Yes   No

Are there any liens on the vehicle? Yes   No

Color:

Please discribe any repairs needed or other helful comments:

Additional Information for Boat Donations

Make:

Model (if applicable):

Year Manufactured:

Boat Type:

Horse Power:

Any Damage? Yes   No

Number of Hours of Usage:

VIN Number for the Boat:

Motor Serial Number:

Is there a title available for the boat? Yes   No

Is there a title available for the motor? Yes   No

Is there a trailer? Yes   No

VIN Number for the Trailer:

Trailer Serial Number:

Is there a title available for the trailer? Yes   No

Are there any liens on the boat (or trailer)? Yes   No

Color:

Please discribe any repairs needed or other helful comments:

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