301-662-5131
301-845-2689 fax
Email to:
evonstein@frederickredcross.org
|
Date Contact Person: |
Elizabeth Von Stein |
|
Titled Owner (S) |
|
|
Address/Mailing (current) |
|
|
Address
Vehicle Location (either
Chapter House or address) |
|
|
Phone |
H: W: |
|
Year/Make/Model |
|
|
Approximate
Mileage |
|
|
Color |
|
|
Vin# From Title |
|
|
Lien Holder On Title |
Yes (w/release
notice) or No |
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Drivable/Run
(able to drop off @ chapter house) |
Yes or No |
|
Tags Removed |
Yes or No (will be) |
|
Where
Parked (Driveway, front etc.) |
|