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Better Business Bureau of Northern Nevada
Business Identity

Firm Name:

Telephone Number:

Fax Number:

Address (include city/state/zip):

Mailing Address (include city/state/zip):

Web Site Address:

Email Address:

Description of Products and Services:


History and Operation Information

Number of Employees:

Date Established Locally:

Date Established Originally:

Business Type (select one):

If Inc., Where and When:

Parent Co. if Franchise or Distributorship:

Parent Company Address and Phone:

Are Licenses Required? If Yes, List Them:
License Number / Issue Date / Expiration:


Advertising Used

Paper Mail Radio TV Other

Customer Service Person

Name:

Position:

Telephone:
Better Business Bureau of Northern Nevada Better Business Bureau of Northern Nevada
Officers, Principals or Partners

Name #1:

Title #1:

Address #1:

Former Business Employment #1:


Name #2:

Title #2:

Address #2:

Former Business Employment #2:


Name #3:

Title #3:

Address #3:

Former Business Employment #3:


Electronic Signature

Information Provided by:

Title:

Date:


Submitting this questionnaire will supply the Better Business Bureau with background information on your company for reporting purposes only. This is NOT an application for BBB Membership. Better Business Bureaus do not endorse any one company, product, or service.

 

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