Komen Cars Sign-up Form

Effective November 18, 2022

DO NOT USE THIS FORM

This Form Has Been Discontinued

It Will Not Be Received or Processed

Please contact your charity to donate

Charities seeking information contact their car donation service provider.

Effective November 18, 2022

DO NOT USE THIS FORM

This Form Has Been Discontinued

It Will Not Be Received or Processed

Please contact your charity to donate

Charities seeking information contact their car donation service provider.

Komen Cars Donation Program Sign-up

Thank you for your interest in the Komen Cars Donation Program. Today there are over 80 Komen Affiliates presently participating in the program. The get your Komen Affiliated signed-up in the program, please complete the below:

Komen Affiliate: *

Komen Affiliate Address: *

Komen Affiliate City: *

Komen Affiliate State: *

Komen Affiliate Zip Code: *

Federal ID Number (EIN): *

Komen Affiliate Website: *

Komen Affiliate Point of Contact Name: *

Komen Affiliate Point of Contact Title: *

Komen Affiliate Point of Contact E-mail Address: *

Komen Affiliate Point of Contact Telephone Number: *

Komen Affiliate Point of Contact FAX Number:: *

Comments:

Also, Please fax your IRS 501c3 designation letter to us at 1-877-303-4936.

Upon receipt we will be in contact with you to get the ball moving.

Again, thanks for your interest in the Komen Cars Donation Program.

Effective November 18, 2022

DO NOT USE THIS FORM

This Form Has Been Discontinued

It Will Not Be Received or Processed

Please contact your charity to donate

Charities seeking information contact their car donation service provider.

Effective November 18, 2022

DO NOT USE THIS FORM

This Form Has Been Discontinued

It Will Not Be Received or Processed

Please contact your charity to donate

Charities seeking information contact their car donation service provider.