BBB of Brazos Valley and Deep East Texas Business Profile

In compliance with the BBB Privacy Policy, the BBB of Brazos Valley and Deep East Texas will use the personal information you provide below only for the purposes for which you have given permission.

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 six months and have demonstrated sound business practices. If qualified, and not already a member, do you wish to apply for BBB membership?

Yes Would like more information

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): 
                                          Other: 
            If incorporated, give date and state:
       2. Nature of Business (choose one): 
                                          Other: 
                  3. To Whom Do You Sell? (choose one): 
                                          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 
                           T itle 
                           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 
                         T itle 
                               Work Phone 
                                      Fax 

Membership is by invitation only

Better Business Bureau - Serving Brazos Valley and Deep East Texas
418 Tarrow
College Station, TX 77840-1822