Car Giveaway Nomination Form
We believe when you give, you receive.This Christmas Eve, Prime Auto USA is giving back to our community by donating a car to someone who truly deserves it — nominated by you!Please fill out this short form to share someone’s story with us. Tell us about a person or family whose life could be changed by receiving a reliable car this Christmas.
Nominee Details:
Full Name of Nominee
*
Phone Number of Nominee
*
E-mail of Nominee
example@example.com
How did you hear about us?
*
Please Select
Newspaper
Friend
Wbsite
Internet
Magazine
Other
Why do you believe this person deserves a car? Please share their story, situation, or how receiving a car would impact their life.
Please Upload a Picture of the Nominee
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Your Details:
Your Name
First Name
Last Name
Your Phone Number
Please enter a valid phone number.
Your Email
example@example.com
How do you know the person you're nominating? Tell us your relationship to them — friend, neighbor, coworker, etc.
I confirm that I am nominating another individual whom I personally know and am not nominating myself.
Yes
I understand that false or misleading information may result in disqualification.
Yes
I consent to Prime Auto USA sharing this nomination information internally among team members for the purpose of reviewing and selecting a giveaway recipient.
Yes
I understand that Prime Auto USA may contact me and/or the nominee to verify this information.
Yes
I understand that nominee information will not be shared publicly without written permission from the nominee.
Yes
Submit
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