WFPB Mormon Map Submission Form
This form enables you to add your name to the WFPB (whole food, plant-based) Mormon Map (view the map here: https://goo.gl/k4tleH). You do not need to be eating WFPB to add your name; you just need to be interested and want to connect with WFPB Mormons.

Complete the form below. Fields with a red asterisk are required; the rest are optional.

The map will not update automatically (I have to manually reimport it to make it update).

To learn more about a WFPB Word of Wisdom diet, visit: http://discoveringthewordofwisdom.com/getting-started/

ā€” Jane Birch (birchbox@gmail.com)

Make sure you don't add your name twice!!
If you aren't sure whether you are on the map, try finding yourself: https://goo.gl/k4tleH. If you need to edit or delete your entry, email me at birchbox@gmail.com.
First Name *
Your answer
Last Name
Your answer
City *
Your answer
State or Country *
Insert State if you are in the USA; otherwise insert Country.
Your answer
Email Address *
Your answer
Personal message
Tell us a little about yourself! You might also say something about any local WFPB groups in your area.
Your answer
Local Street Name *
The purpose of adding a street name is to avoid two pins in the exact same location on the map. You don't need to use your own street; you can use any real street in your city. Be sure: (1) it is an actual street name in your city; (2) you include Avenue or Street, etc., if it is part of the name (e.g. Aspen Ave, Cherry Lane, 500 W); and (3) it is spelled correctly.
Your answer
The Mormon Map is sponsored by Jane Birch, author of Discovering the Word of Wisdom.
Visit the Discovering the Word of Wisdom website at http://discoveringthewordofwisdom.com. You can contact Jane Birch at discoveringthewordofwisdom@gmail.com.
See the WFPB Mormon Map!
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