Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Email* Boat InformationBoat Name* Boat Type* Power Sail Boat Length*Length Overall - Includes swim platforms, bow pulpits and dinghy davitsBeam*Draft*in feetIllinois Registration or USCG Documentation Number* Are you a current permittee in the Chicago Harbor system?* Yes No Harbor*31st Street59th StreetBelmontBurnhamDiverseyDuSableJackson InnerJackson OuterMonroeMontroseCurrent Harbor Assignment* Storage Yard Location* Haul Out date* MM slash DD slash YYYY Do you have a 2024 Chicago Harbor Commercial Permit?*Additional permit issued for Charter and other revenue activities? Yes No Arrival Date*Estimated arrival date in late leaver slip. Must arrive no later than October 31stTuesday, October 15Wednesday October 16Thursday, October 17Friday, October 18Saturday, October 19Sunday, October 20Monday, October 21Tuesday, October 22Wednesday, October 23Thursday, October 24Friday, October 25Saturday, October 26Sunday, October 27Monday, October 28Tuesday, October 29Wednesday, October 30Thursday, October 31Preferred Tie-Up*Not guaranteedEItherPort (Bow-In)Starboard (Bow-In)Requested Electrical Power*Electrical request is not guaranteed. Harbor does not provide adapters.No Power30 amp - 125 Volt50 Amp - 125/250 Volt (208 Volt Service)100 AmpLate Leaver - 30 Feet and Under Price: Late Leaver - 31 Feet to 50 Feet Price: Late Leaver - 51 Feet and Over Price: Payment InformationCredit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month010203040506070809101112 Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name CAPTCHAAfter you click the "Submit" button below, you should be directed to a confirmation page and receive a confirmation email. If you do not receive a confirmation email, please contact the Chicago Harbors office, do not submit duplicate requests.
312.741.3601