Autopact 12 Lives Nomination Form


If you know someone who would benefit from some help, or unexpected kindness, please tell us about them using the form below. Although we do give tangible help, the Autopact 12 Lives concept is about much more than that. It is about spreading kindness and hopefully helping to change people's outlook on life.


Unfortunately, we won't be able to help everyone nominated, but we hope we can make a difference by helping that 1 life every month.

If we don't get back to you straight away, don't worry. We will hold onto your nomination and may be able to help in a different month. We will get in touch if we are able to help.


Privacy: People's privacy will always be respected. No personal information submitted on this form will be shared publicly or with any third parties without permission. Our Privacy Policy