Cancer Support Community (formerly The Wellness Community)

Contact Information

Walnut Creek

California

website

The Cancer Support Community (formerly known as The Wellness Community) provides comprehensive psycho-social support and education programs for people with cancer and their caregivers, children and families. Our programs and services enable cancer patients and their families to manage their treatment and recovery as effectively as possible, increase their chances for survival, and provide for a higher quality of life. Anyone affected by cancer is welcome, and all of our services are always free of charge..

Donate a Car to Charity
Please fill out the form below to donate a car!

Name*
Prefix First Middle Last Suffix
Email*

Phone*
Work Phone
Cell Phone
Address*
Street Address City State ZIP Code

Business Name
Business Phone
Vehicle Year*
Vehicle Make*
Vehicle Model*
Vehicle Color*
Numer of Doors
Current Mileage*
Registration*
Yes
No
State Vehicle Registered
State

Registration Expiration Date*
Date Format: MM slash DD slash YYYY

Why don't you have the Registratrion?
Do You Have the Certificate of Title (Pink Slip)?*
Yes
No
Is the Vehicle in Running Condition?*
Why don't you have the Pink Slip?
Why isn't the Vehicle in Running Condition?
Vehicle Identification Number*
License Plate Number
Describe Mechanical Issues, if any
Describe Condition of Body
Describe Condition of Paint
Describe Condition of Interior
To Which Charity Would You Like to Donate Your Vehicle?*
Is the Vehicle Located at the Address Above?*
Yes
No
How did you hear about us?
Notate the address where the vehicle is located
Street Address City State ZIP Code

Comments
CAPTCHA