Junk Car Pickup Form – Brandon Auto – FL

brandon2Since 1971, Steve Holland and Ken Anderson have taken pride in building Brandon Auto Salvage into one of the most progressive and organized salvage operations in the world. Brandon Auto Salvage has been presented the Improvement and Beautification Award by the Automotive Dismantlers and Recyclers Association.

Owner Information Section
Name *
Address on Ownership *   ZIP/Postal Code *
City *   Phone Number *
Cell Number   Email *

Donating Your vehicle?
Yes, I want to donate my vehicle.
Name of the Licensed Charity of your choice

Vehicle Information Section

Year   Make
Model   Mileage
Licence Plate   VIN #
Location of vehicle if different than the address above.
Condition of vehicle   Comments about vehicle
There are no liens / loans outstanding against this vehicle.
I do have the ownership / title to transfer to the Authorized Treatment Facility.
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