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APPLY FOR A VEHICLE

Friday December 20th we will give over 20 vehicles away to 20 Families at The Argosy Hotel and Casino in Riverside Mo. Anyone may apply on our website. Listen to 101 The Fox for daily starting Nov.details online at http://www.101thefox.net/listen-live/ We might call you on air.

If this is for a Veteran or family of a Veteran, you will need to fill out the form for Cars 4 Heroes at the following link Cars 4 Heroes Application

DISCLAIMER: We do not provide application status updates. Please remember, we receive thousands of applications every year but we are limited on the quantity of cars we can give away. Your application will be kept on file for 3 years. If your application is selected, you will be notified by our Selection Committee for an interview. To be eligible, the recipient must provide documentation of honorable discharge or, if active duty, must be in good standing with Command before receiving a vehicle. We reserve the right to verify military status and any other information given in this application. Proof of deception, will eliminate eligibility.

Any information submitted to us, (including but not limited to comments, remarks, suggestions, ideas, notes, drawings, graphics, concepts, data, or other information) is given freely, and all of your rights in it, to Cars 4 Christmas Inc. free of charge. You hereby assign all rights, title, and interest in and to that information to Cars 4 Christmas Inc., and that information will be treated as non-confidential and non-proprietary and may be used by Cars 4 Christmas Inc. for any purpose, without your consent or any compensation to you or anyone else. This is true whether you submit such information to us by e-mail, through a form on the Site, on a bulletin board, message board, blog or in any other manner. Please do not submit or transmit any material that is unlawful, threatening, libelous, defamatory, obscene, pornographic, profane, or might in any other way violate any law. Cars 4 Christmas Inc. may from time to time monitor, review and, in its sole discretion, modify or delete any postings you make on the Site; however, Cars 4 Christmas Inc. is not obligated to do so. Whether or not we modify or remove such material, you remain solely responsible for any material you submit to us. Through your usage of the Site, you may submit and/or Cars 4 Christmas Inc. may gather certain limited information about you and your website usage. Cars 4 Christmas Inc. is free to use such information for any purpose it deems appropriate, including marketing purposes.

Recipient Application

This form is for Non-Veterans only
for Veterans go to Cars4Heroes.org

Your contact information (Nominating Party):

* Indicates required field

Your Name: *

First

Last

Your Email: *

Your Phone Number: *

Relation to recipient *

Your Address: *

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City

State

Zip Code

Country

Recipient's contact information:

Recipient's Name: *

First

Last

Recipient's Email: *

Recipient's Phone Number: *

Recipient's Address: *

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City

State

Zip Code

Country

Tell us the Recipient's story:

How would a vehicle change the Recipient's life? Why does the Recipient need a vehicle? *

Does the Recipient have any medical limitations with regards to driving a vehicle? *

Vehicle needs to accommodate: *

Number of children and their ages *

Number of children requiring a car seat or booster: Age and weight *

Additional:

We are curious how you found out about us.

How did you hear about Cars 4 Christmas? *

Source: *

We like to send updates about the organization periodically; calendar events, fundraisers, and giveaways.

Would you like to receive these messages: *

Submit

Please like our Cars 4 Heroes page on Facebook and Cars 4 Christmas page