This information is optional—but necessary if you want to be included on the map. The city/state information will be listed publicly and pinned on a map. (Please don't list a personal street address or any personally-identifiable place.)
Your name (required)
Is there anything you'd like for us to know? (Favorite craft beer, favorite local watering holes, part of your story, etc.)
Which is bigger, two or twelve?
(No, this isn't a trick question—asking this helps us filter out genuine, human responses and cut down on spam.)