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Personal Information

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Charity

L.E.A.D - Law Enforcement Against Drugs

Please fill out as much information about the charity you are interested in. We will email you and let you know if we are able donate to your charity.

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Vehicle Location

Vehicle Information

-- Select Vehicle Type -- ATV Car Motorcycle SUV Trailer Truck Van

Damage

Is the vehicle driveable? Yes No

Do you have the vehicle title? Yes No

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