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If your Agency currently works with single moms that do not have access to a vehicle and you would like to become an Advocate Agency with AutoGift, please complete the form on the left and someone from our office will get back to you soon.

​​ ​Please Provide the Following Information In The Message Box to the Left:



  • Agency Name & Address


  • ​​Agency website

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  • Your name, contact phone number, and title


  • A little background of your Agency


  • How did you hear about AutoGift?