Flu 2024 State of Georgia Location Information Question Title * 1. Please enter your location address and contact information. Location Name: * Onsite Location Address/NO POBOXES: * Address 2 Onsite Location City * Onsite Location State * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Onsite Location ZIP * Site CoordinatorName: Site PhoneNumber: * Site EmailAddress: * Question Title * 2. Please provide Alternate Site Coordinator information here if have one. Alternate Name: * Alternate Phone Number: Alternate EmailAddress: * Question Title * 3. All Flu Shot events must be a minimum of 3 hours (excluding 1 hr set-up and 30 minteardown time). How many flu shot events will your location require? Next >>