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Standard Business Questionnaire
 

Thank you for your interest in the Better Business Bureau. This form will give us basic information about your company to enable us to create a file in our database. This is not a membership application.

Membership in the BBB is by invitation to companies that have been in business for at least 1 year and have demonstrated sound business practices. If qualified, and not already a member, do you wish to apply for BBB membership?
 

Note:*- fields are required.
Apply For Membership    Would like more information    Register Only


Business Identification
Firm Name (Corporate or Legal Name): *
Other Business Names(DBA):
Telephone: *
Fax:
Address: *
City: *
State: *
Zip: *
Web Address:
Email Address:
Mailing Address (if different):
City:
State:
Zip:
Parent Company Name and Address:
(if applicable)
Other Locations:

Business Type/Classifications/Product or Service
1. Type of Business:
Other:
If incorporated, give date and state:
2. Nature of Business:
Other:
3. To Whom Do You Sell?:
Other:
Is your Operation Franchised?
4. Type of Local Facility:
Other:
Number of Employees:
Date Business Established: *
Length of Time at This Location:
Describe Products or Services Offered:
Note: If product or service is being franchised, please mail a copy of the contract and a description of the marketing plan to the address below

Licensing or Business Registration (if Licensing is Required)
Name of Licensing Authority:
License Number:
Date Issued:
Date Expires:
Additional Information:

Advertising or Marketing Details (check all that are applicable)
Local Advertising:
National Advertising:
Radio Advertising:
Television:
Newspaper:
Direct Mail:
Other:

Give Names, Titles and Addresses of Officers/Owners
Name: *
Title:
Address:
City:
State:
Name:
Title:
Address:
City:
State:
Name:
Title:
Address:
City:
State:
Name:
Title:
Address:
City:
State:

Give Business History for the Past 5 Years for Above Individuals
1.
2.
3.
4.

References
Local Bank Reference
Name:
Telephone:
Address:
City:
State:
Business Reference
Name:
Telephone:
Address:
City:
State:
Customer Reference
Name:
Telephone:
Address:
City:
State:

Please Provide the Name of a Contact Person
that the Better Business Bureau can Call for Additional Information
Contact Name:
Title:
Work Phone:
Fax:

Information Provided By
Contact Name:
Title:
Work Phone:
Fax:

Serving Central Florida