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2. The 2020-2021 registration period is November 1 through December 18.

   
   

   Per City of Savannah Ordinance, any location owner or location operator in the city, offering to the public one or more bona fide coin operated amusement machine(s) must submit in writing the name, physical address and mailing address of the Master license holder of the bona fide coin operated amusement machine(s) to the City of Savannah before any occupational tax certificate or license is issued or renewed.

   
   

   Questions? Email coam@savannahga.gov.

4. Business Name*
6. State-Issued Master License Holder Name*
8. State-Issued Master License Number*
   Please verify your information. Applications with incorrect or incomplete information will be rejected.
9. State-Issued Location License Number*
   Please verify your information. Applications with incorrect or incomplete information will be rejected.
11. Upload Scan/Photo of State-Issued License*
15. Location Information
    PLEASE NOTE: Only businesses operating within the city limits of Savannah, GA are required to register with the City of Savannah.
17. Location Street Address*
19. Location City*
20. Location State*
21. Location Zip Code*
23. Total Number of Class B Machines at Location*
27. Contact Person (First & Last Name)*
28. Contact Phone Number*
30. Business Phone*
31. Email Address*
33. Owner's Mailing Address (If Different than Location Address)
35. City
36. State
37. Zip Code
39. Note: City of Savannah Code Section 50-27-86 states, any location owner or location operator subject to the Official Code of Georgia, Section 50-27-84(b) is required to provide a monthly report to the Tax and License Coordinator. Such report shall indicate the monthly gross retail receipts for each business located in the city and shall be due by the 5th day of each month, after the month the sales have taken place. No location can derive more than 50% of the monthly gross retail receipts for that location from class B coin operated amusement machines. Any location owner or location operator found in violation of this provision may be fined as allowed under Section 50-27-86, and may have any city issued license suspended or revoked as allowed under Section 50-27-86.
41. Electronic Signature*
    By inputting my name above, I agree that the information I've provided on this form is true and correct.
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49. 1. Receive an email copy of this form.
50. Email address

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51. Submit

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