Kidney & Urology Foundation of America
Kidney & Urology Foundation of America
KUFA Spotlight
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KUFA has moved!
Our NYC address is
104 West 40th Street, Suite 500
New York, NY 10018

Our HQ office is
63 West Main Street, Suite G Freehold, NJ 07728

 

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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?
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Kidney & Urology Foundation of America
104 West 40th Street, Suite 500 | New York NY 10018 | 1.800.633.6628
63 West Main Street, Suite G | Freehold, NJ 07728 | 732.866.4444

Kidney & Urology Foundation of America (KUFA) is a national, 501 c(3) not-for-profit organization.
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Website Last Modified: March 26, 2017
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