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* 1. What is your name?

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* 2. What is your email address?

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* 3. What would best describe your primary role within the basic income community.

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* 4. The work I primarily do is:

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* 6. Let us know how you might want to be part of the National Narrative Change Campaign set to launch in September. This campaign is designed to challenge the false narrative that we live in a meritocracy.

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* 7. Are you interested in participating in policy brainstorming sessions or workshops to explore potential north star policies and processes for supporting legislative work across the community?

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* 8. Are you interested in being part of the Movement Building Coalition that meets every two months to help shape national efforts?

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* 9. Please share any topics or areas that you think are urgent for us to dig into as a movement.

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