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BBB of Southern Nevada Business Profile

In compliance with the BBB Privacy Policy, the BBB of Southern Nevada 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 1 year 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

* 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):
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?
 Yes No
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 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
 
 
Membership is by invitation only
Better Business Bureau - Serving Southern Nevada
2301 Palomino Lane
Las Vegas, NV 89107