BBB serving Central, Coastal, Southwest Texas and the Permian Basin Business Profile

Thank you for your interest in 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 an application for accreditation.

Accreditation in 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 an accredited business, do you wish to apply for accreditation?

Please select an option Yes, I wish to apply for BBB Accreditation No, please update my information only Please contact me with more information * Required Fields 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 (choose one):	sole proprietorship partnership corporation other
Other:
If incorporated, give date and state:
* 2. Nature of Business (choose one):	manufacturing distributor professional retail sales/service commercial sales/service other
Other:
3. To Whom Do You Sell? (choose one):	retail wholesale distributor other
Other:
Is your Operation Franchised?	Yes No
4. Type of Local Facility :	plant warehouse sales office retail sales location service/repair facility other
Other:
Annual Average # of Customers	1 - 499500 - 49,99950,000 - 99,999100,000 - 999,9991,000,000 - 9,999,99910,000,000 - 49,999,99950,000,000+
Gross Annual Sales	$1 - $999,999$1,000,000 - $19,999,999$20,000,000 - $99,999,999$100,000,000 - $999,999,999$1,000,000,000 - $9,999,999,999$10,000,000,000 - $49,999,999,999$50,000,000,000+
Date Business Established
Number of Employees
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 If you are interested in accreditation with BBB, please fill out the following references (if applicable)
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 BBB can Call for Additional Information
* Contact Name
* Title
* Work Phone
Fax
Information Provided By
* Contact Name
* Title
* Work Phone
Fax
Accreditation in BBB is by invitation
Better Business Bureau - serving Central, Coastal, Southwest Texas and the Permian Basin 1005 La Posada Dr Austin TX 78752-3815