Name
|Company Name (Corporate or Legal Name) Main Name |
|«company_name» |
|DBAs |
|Main Name |
|Address |City/State |Zip |
|«address»«address_2» |«city»,«state» |«zip» |
|Mailing Address (If Different) |City/State |Zip |
|«mail_address»«mail_address_2» |«mail_city»,«mail_state» |«mail_zip» |
|Telephone Number |Fax Number |
|«phone» |«fax» |
|Additional Telephone Number(s) |Toll-Free Telephone Number |
|( ) |( ) |
|Web Address (URL) |E Mail Address |
|«url» |«email» |
Please List All Additional Locations and Phone Numbers on a Separate Sheet.
BUSINESS TYPE/CLASSIFICATION/PRODUCT OR SERVICE
|BUSINESS TYPE |Sole Proprietorship |Partnership |Corporation |Franchise |If Incorporated, Date & State |
| |( |( |( |( | |
|Corporate Headquarters (State) |Corporate Headquarter (City) |
|Date Business Established (MM/DD/YY) |NAICS Code (North American Industry Classification) |Number of Employees |
|«date_established» | |«number_of_employees» |
|Primary Type of Business |
|«TOB» |
|Secondary Type of Business |
|Describe Products and/or Services Offered |
|«Nature_of_Business» |
| |
|Questions below are for BBB internal use only and help BBB properly determine the size of your business. |
|Gross Annual Revenue |Number of Annual Customers |Number of Locations |
|$ | | |
LICENSING OR BUSINESS REGISTRATION
|Name of Licensing Authority |License Number |Date Issued |Expiration Date |
| | | | |
|State Issued | | | |
NAMES, TITLES AND ADDRESSES OF OFFICERS/OWNERS
| |Name |Title |Email |
|Mr. |«send_name» |«contact_title» | |
|Ms. | | | |
|Mr. |Name |Title |Email |
|Ms. | | | |
|Mr. |Name |Title |Email |
|Ms. | | | |
|Mr. |Name |Title |Email |
|Ms. | | | |
ACCREDITATION CONTACT
If your firm qualifies, would you be interested in BBB Accreditation? If so, please add the name of a contact person below.
|Mr. |Contact Name |Title |Telephone |Fax Number |
| | | |( ) |( ) |
|Ms. | | | | |
COMPLAINT CONTACT
|Mr. |Complaint Contact Name |Title |Telephone |Fax Number |
| | | |( ) |( ) |
|Ms. | | | | |
INFORMATION PROVIDED BY
|Signed By |Title |Date |
|Print Name |Interviewed By |Business Rep |
Are you interested in becoming a BBB Accredited Business? Yes / No
Mail Completed Form to:
Better Business Bureau
4834 Sparks Blvd Ste 102
Sparks, NV 89436
Fax Completed Form to: (775) 322-8163
Email Completed Form to: info@reno.
-----------------------
BBB Business Profile
BBB Use Only
BBB File No: «firm_id»
Mailed: «date»
Rating: «rating»
................
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