Christmas Miracle

Thank you for being willing to nominate a family that could use A Christmas Miracle from Direct Auto Exchange. Please take a moment to complete the information below. We ask that you keep your nomination a SECRET because we would like to surprise the person or family with this Christmas Miracle.

All questions must be completed entirely for the form to be considered.

First Name:

Last Name:

Email:

Your Cell Phone Number

Person or Family you’re Nominating Name

Person or Family you’re Nominating Phone

If there are any children in the household, please list each child’s first name, age, and gender.

Could this household benefit from a newer vehicle?

Please tell us as much as possible about the person or family you are nominating and why.

ACKNOWLEDGMENT AND CONSENT:

By checking this box, you expressly consent to receive customer care text messages and/or phone calls to the number provided from or on behalf of Direct Auto Exchange or their employees in response to your inquiry. By opting in, you understand no mobile information will be shared with third parties or affiliates for marketing or promotional purposes. Message frequency varies per user. Message and data rates may apply. You may withdraw your consent at any time by texting "STOP" or "HELP" for help. See our Privacy Policy for more information.

** To be eligible for a free vehicle, you must be 18 years or older with a valid driver’s license and provide proof of insurance. **