CAMPER DONOR FORM

ASA Camper/RV Donor Contribution Form

Donor Information

Donor Name / Organization

Contact Person

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

File upload

Donation Details

Item Donated: Camper/RV

Camper Make and Model:

Camper Year:

Camper Identification Number (VIN):

License Plate Number (If Applicable):

Estimated Value

Estimated Fair Market Value:

Note: The nonprofit organization does not provide tax valuation. Please consult a tax advisor for guidance and provide an appraisal for value above $5,000.00

Donor Certification:

By signing below, I confirm that I am voluntarily donating the camper described above to the nonprofit organization. I understand that this donation is irrevocable and that I will receive an acknowledgment letter for my records.

Donor additionally agrees to provide ASA with the vehicle/camper title for the purpose of facilitating the proper transfer of title from donor to donee.

File upload

Signature

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Date

Month

Day

Year