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.
Applicant (Person to be contacted with questions about this registration)Onsite/Local Manager (Person onsite regularly and/or handles property issues)Primary Business Contact (Person to be contacted for inquiries about this business and its activities, NOT related to this registration)Marketing Contact (Person to be contacted regarding opportunities for community outreach & engagement, including special events)
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

Clear
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