MADA - Parts Donation Program
Please fill out the boxes listed below; the required items are marked with a red star.
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Dealership Name *
Fill out the name of the Dealership you represent.
Title
Position title
Email Address *
Dealership Street Address, City, Zip *
Last Name *
First Name *
Phone Number
Equipment Preference *
How would you like to let the schools receive your donated items?
Preferred School
If no answer, then no preference is assumed and your donation will be routed to a qualified school.
Submit
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