Upcoming Events

Golf at "The Creek"
Monday, September 15, 2008

New York Walk The Walk
Sunday, October 26, 2008
New York Walk The Walk - Sunday, October 26, 2008





2008-2009 Applications for KUFA Scholarships and Patient Awards and NJ Coalition on Donation Scholarship Awards are NOW CLOSED.  Visit our website in January for the 2009-2010 applications.

Announcement of 2008-2009 Awardees Coming Soon!


 


 
 
1.jpg

Used Car Donation Form

Please complete the following information

General Information

Gender
Male
Female
First Name
Last Name
Address
Apt/Suite
Address 2
City
State
Zip
County
Phone
Fax
Email Address
   

Car Information

Name on the Title
Make
Model
Year
Color
Mileage
Number of Doors
Number of Seats
# of Cylinders
Is the car drivable?
Last Driven?
Inspection Current?
Interior Condition
Exterior Condition
Dents
Rust
Location of Vehicle
Additional Information
   
How did you hear about us?
May we contact you by:
 
   

 

 

 

 

About Us | Patient Resources | Professional Resources | Support Us | Latest News | Brochures
Corporate Sponsors | Contact Us | Terms of Use | Privacy Policy
Kidney & Urology Foundation of America
152 Madison Ave, Suite 201
New York, NY 10016
Copyright 2008

Website Last Modified: August 19, 2008