Business Registration

Business Information

Business Name	Gia's Salon and Spa
Business Street Address (Including Unit or Suite, if applicable)	---
Business Phone	+18158621442
Email Address	---
Would you like to sign up for the Village E-Blast for current events and information?	---
Website Address	---

Business Owner Information

Business Owner(s) Name	---
Business Owner(s) Home Address	---
Business Owner(s) Phone Number (Home or Cellphone)	---
Building's Landlord (if Different from Owner)	---
Landlord Address (Incl. City, State, Zip Code)	---

Is This A New Business?

Is This A New Business?

No, my business was registered under the same name prior to May 1st of this year.

Other Important Information

Illinois Sales and Use Tax and/or Retailers Occupation Tax	---
Operating Days	Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Operating Hours	tue wed thur 9am-9pm fri 9-4 sat 8-3
Number of Shifts	2
Number of Employees	7
Nature of Business	Hair skin nail service

Fueling Stations

Does your business have fueling stations on site?

No

Hoses

Number of gas hoses

0

Police Required Information

Burglar Alarm	No
Fire Alarm	Yes
Other Security Measures	---
Hazardous Materials	No

Fire Alarm Information

Please Describe Alarm Box Location	---
Monitoring Agency	---
Monitoring Agency Telephone Number	---

Emergency Contacts: Please provide 3 names/phone numbers of key holders who are available 24 hours in case of an emergency.

1) Name	Kathy Wetzel
1) Phone Number	+12629495088
1) Alternate Phone Number	+12629495188
2) Name	Tim Wetzel
2) Phone Number	+12629495188
3) Name	Travis Wetzel
3) Phone Number	+12626208842

Late Fees

Was this submitted after May 22?

No

Prorated Fees

Was this submitted between August 1 - October 31?	No
Was this submitted between November 1 - January 31?	No
Was this submitted After February 1?	No

Certification Number

Certificate No

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