Instructions: Use the form below to request service for your car or truck. Your Information First Name Last Name Email Phone Please choose your preferred contact method Email Phone Affiliation The BelPres Community Outreach Organization you are affiliated with –None– Acres of Diamonds Congregations for the Homeless Eastside Academy Jubilee Reach The Sophia Way Mary’s Place (Bellevue location only) (The Organization you identify will be contacted to verify your affiliation) Your Contact Person within the BelPres Community Outreach Organization: (Not your own name) Vehicle Information Year: Make: Model: License Plate: Licensed ST: –None– AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Please explain the service you need for this vehicle: SUBMIT Pressing the “SUBMIT” button will generate an email to you confirming this submittal. An Auto Angels representative will be contacting you shortly about scheduling an appointment at our Garage. Auto Angels is an all-volunteer, non-profit organization that depends heavily on the generous donations of the public. Our volunteers perform repairs and maintenance on vehicles for the cost of the parts. There is no charge for labor.