Please complete all required details!
If you have any questions, please call 470-362-1339/912-667-7389 or email us at Tiwanna.Jones@Amerigroup.com. Thank you for your support!
Sunday, July 20, 2025
Cann Park, 45th & Stevens Street Savannah, GA 31405 2:00 pm-5:00 pm
Business/Organization Name
*
Point of Contact
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Type of business
*
Please Select
Non-Profit
Employment Agency
Community Resource
Health Screening/Vaccines
Community Based Organization
Other
Housing
Technical School/University
Business partner
Engagement Activity
Sponsorship Level
Sponsor
Vendor
In Kind Donation
Tent rental $50
Payment Options
PayPal
Mailed check
Cash
Debit/credit card
Other
How many staff members are attending the event?
Vendor meal 1
*
Hamburger
Hot dog
NA
Vendor meal 2
*
Hamburger
Hot dog
NA
Sponsors 1
*
Hamburger
Hot dog
NA
Sponsors 2
*
Hamburger
Hot dog
NA
Sponsors 3
*
Hamburger
Hot dog
NA
Sponsors 4
*
Hamburger
Hot dog
NA
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