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Please fill out the form below. Be sure to pick the location and date you would like to start parking. Parking card will be ready the next day for pick-up. Please note that a $3.00 convenience fee will be added to the payment total.

Parking Location*
User Name*
Email*
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Employed At*
Cell Phone Number*
Work Phone
Make of Vehicle*
Color*
Lic #
Model*
Year*
The undersigned accepts a permit in the above facility from Heartland Parking, d/b/a National Garages of Illinois. Permit shall continue from the FIRST to the LAST DAY of each month, PAYABLE BY THE 1st BUT NOT LATER THAN 7th OF EACH MONTH IN ADVANCE.

The foregoing monthly fee may be changed by Heartland Parking, d/b/a National Garages of Illinois as of the first day of the month by giving not less than 7 days written notice posted on the premises or at the address set forth herein. In the event fees are not paid when due, Heartland Parking, d/b/a National Garages of Illinois may cancel this permit and take immediate possession of space without liability to permittee. Either party shall have the privilege of terminating this agreement by giving the other party two weeks written notice. Permits are canceled on the 1st and 15th of each month and notice must be given two weeks prior to these dates. Permittee agrees to accept responsibility for legal cost or agency fees that may be occurred by Heartland Parking, d/b/a National Garages of Illinois in the collection of any outstanding fees owed by Permittee at time of termination.

ASSUMPTION OF RISK: The permittee, having permission to park in the facility, thereby assumes all risk of Loss or Damage to Property, and all risk of Personal Injury, including Death, which is attributable to the negligence of unlawful conduct of a Third Party or natural cause beyond control of Heartland Parking, d/b/a National Garages of Illinois.

Permit does not include valet service and is for parking only. Permittee will be charged $30.00 or the prevailing bank rate for any bad check. Lost cards, damaged cards, or hang tags will be replaced for a fee. Activation fee is non-refundable. All cards must be returned upon cancellation.
SPECIAL PROVISIONS: Permittee must obey all rules of the parking facility. Permittee must park on the designated floor and this does not guarantee UNDERCOVER parking. Heartland Parking, d/b/a National Garages of Illinois is not responsible for any drippings on vehicles. If space is needed your contract will be canceled based on Last In - First Out. Permits are good 7 days unless otherwise stated.
Customer Signature*
Convenience Fee
Total + $3.00 Convenience Fee
$0.00
Credit Card*

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Card Number Expiration Date Security Code Cardholder Name
Please Contact City of Champaign 217-403-4700

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