MBI List
*
indicates required
Name:
Email:
Comment:
First Name
*
Middle Initial
*
Last Name
*
Email Address
*
Phone Number
*
City
*
State
Country
*
Birthdate
*
What would you do if your income were guaranteed?
*
Can we quote your response to grow Basic Income?
*
How did you hear about this project?
*
Opt-in to our 2nd Sweepstakes?
Yes! I want to be in the second sweepstakes!
Future News and Events
Send me project updates and news
Send me information about Basic Income Events
Was in the first sweepstakes?
Yes, was imported from the first sweepstakes
Was a Backer?
Yes, was an IndieGogo backer
Yes, has donated