2022 Business Registration Certification

City of Evanston 2022 Business Registration Certification

Business Name*

Business Registration Number*

Business Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Email*

I have submitted my $75 annual registration fee*

Yes No N/A (Home-based business)

Have there been any changes in business location, ownership, or primary contact information?*

Yes No

Please list changes to your business:*