2026 Business Registration Form

Business Contact Information
Business Website
Local Business Phone
Number to main West Chicago location (not a corporate or third-party number) Format: (000) 000-0000.
Business Owner/Corporate Contact Name

First NameLast Name
Title of Contact Person
Business Owner/Corporate Contact Email
Business Owner/Corporate Contact Cell Phone
Must be cell number if the business owner/corporate contact is also an emergency contactFormat: (000) 000-0000.
Indicate if the Business Owner/Corporate Contact is also any of the following (Select All That Apply)
Applicant Name (Person completing this form)

First NameLast Name
Applicant Title
Applicant Phone
Provide direct phone number or cell number if also an emergency contactFormat: (000) 000-0000.
Applicant Email
Onsite/Local Manager Name

First NameLast Name
Onsite/Local Manager Title
e.g. Regional Manager, General Manager, etc.
Onsite/Local Manager Phone
Provide direct phone number or cell number if also an emergency contactFormat: (000) 000-0000.
Onsite/Local Manager Email
Primary Contact Name (Person to be contacted for inquiries about this business and its activities)

First NameLast Name
Primary Contact Title
e.g. Regional Manager, General Manager, etc.
Primary Contact Phone
Provide direct phone number or cell number if also an emergency contactFormat: (000) 000-0000.
Primary Contact Email
Marketing Contact Name

First NameLast Name
Marketing Contact Title
Marketing Contact Phone
Marketing Contact Email
The address provided below is subject to release in accordance with the Freedom of Information Act (FOIA). Note that commercial requests can be made that include the business mailing address, in which case the address provided below would be released.
Business Mailing Address (where notices and/or official business correspondence should be mailed)

Street Address

Street Address Line 2

CityState

Zip Code

Applicant Certification
By signing below, I {applicantName126} hereby certify that to the best of my knowledge, this application represents a true and complete representation of the above named entity and person(s) listed. I also understand that any change to the information contained within this application, including change in ownership of the business or property, change of business name, expansion of business activities, and physical expansion (into adjacent space or additional location) requires a new Certificate of Occupancy Application to be submitted within 30 days of that change.
Applicant Signature
Should be Empty:

Application for 2026 Business Registration

Business/Organization Information

Business Contact Information

Property Information

Property #2 Information

Property #3 Information

Property #4 Information

Property #5 Information

Business Owner Survey

Applicant Certification