Ready to part with your car?
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Your old jalopy will be recycled in accordance with the strictest environmental standards, and 100% of its value will be donated to The Kidney Foundation of Canada.

Contact us:

• Montreal's South Shore, the Laurentians, Lanaudiere, Vaudreuil-Soulanges and Monteregie, Metropolitan Montreal, the Lower Laurentians, Oka, Mirabel, St Jerome: 514-325-7346
• Mauricie/Centre du Quebec, Trois-Rivieres and Shawinigan: 1-819-378-1369
• Outaouais (Gatineau, Hull, Buckingham, Papineauville, Montebello, Aymer and Chelsey) : 819-643-0056

Towing is free within a 60 km radius of these cities. If you bring your car to us, we'll add $50 to the tax receipt.



1)DONOR INFORMATION

Mr.

Ms.

Language of correspondence:

French

English

Last name *

First name *

Address

Apt.

City		Postal code
Home phone		Work phone

2) INFORMATION ABOUT THE CAR BEING DONATED

Type of vehicle		Make
Model		Year
Licence plate		Serial number (VIN)
Colour		Odometer reading

Miles

Kilometres

A) Is the car registered in your name ?	Yes		No
B) Is the car fully paid off and free of outstanding debts ?	Yes		No
C) Is your vehicle registration still valid ?	Yes		No

3) TOWING INFORMATION

Specify the address where the vehicle will be picked up.
Contact *

Day phone nb.:  *

Evening phone nb.:

4) TERMS AND CONDITIONS

The Kidney Foundation of Canada only accepts donations of vehicles that are free of outstanding debt and registered in the donor's name. The Kidney Foundation of Canada will send the donor an official receipt for the value of the donation, as shown below.

 * I hereby attest that I am the rightful owner of the vehicle mentioned in article 3 above and that I wish to transfer it completely and definitively to the Kidney Foundation of Canada.

Promotion: $25 toward the purchase of parts at Kenny U-Pull in Laval For more information, call 1-877-688-0588.