Interest Form
This is for folx who are interested in learning more about Veggie Mijxs ⭐
Email address *
Q1. Food Lifestyle *
Q2. Last Name *
Your answer
Q3. First Name *
Your answer
Address
If you do not live in the United States: please put "N/A" for Q4 and Q6, then continue to Q7
Q4. City *
If not living in the United States, put "N/A" and go to Q7
Your answer
Q5. Specified Region/Hood
Optional ⭐
Your answer
Q6. State *
If not living in the United States, select "N/A" and go to Q7
Q7. If not living in the US, please write out the city/municipality you reside in *
If you answered Q4-Q6, write "N/A"
Your answer
Q8. If not living in the US, please write out the country you reside in *
If you answered Q4-Q6, write "N/A"
Your answer
Racial/Ethnic Identity
Your answer
Pronouns
Instagram Username
Your answer
Talent/Skill to Share
Your answer
Would you be interested in becoming an official member of the Veggie Mijxs collective? *
More information on membership coming soon ⭐
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