General Information Form OTHER PURPOSE FORM: UGAMI Dates of visit Arrival Date Departure Date End Section Contact Infomation Primary contact for visit (name) Contact Information: Phone Contact Information: Email Contact information for day of trip: Name Street address City State Zip Phone (cell) Department (if applicable) End Section Visit Reason for visit Workshop Teacher Business-related UGA Volunteer Public outreach Contractor Please check applicable boxes and provide brief explanation in space below. Brief explanation of reason for visit Number in Group Is this the group's initial visit to UGAMI? Yes No Activities and locations on Sapelo End Section Billing informaion Is billing information on file at UGAMI? Yes No Billing contact City State Zip Billing phone Email End Section Additional information or comments