1333 West Loop South, Suite 1200 502 East Expressway 83, Suite C

Better Business Bureau

Serving Austin, Brazoria, Brooks, Cameron, Colorado, Fort Bend, Galveston, Harris, Hidalgo, Jim Hogg, Kenedy, Matagorda, Montgomery, Starr, Waller, Wharton, Willacy, Zapata Counties

Houston, TX 77027 Weslaco, TX 78596

713-868-9500 956-968-7327 FAX 713-867-4947 FAX 956-968-7638

BBB Business Background Information Request

Business Name (Corporate or Legal Name) Main Name 
Additional Business Name:
Additional Business Name:
Mailing Address / City/State / Zip
Business Address (If Different) / City/State / Zip
Primary Telephone Number
( ) / Primary Fax Number
( )
Additional Telephone Number(s)
( ) / Toll-Free Telephone Number
( )
Public E-mail / Web Address (URL)

Sales E-mail / Additional Web Address(s)
Customer Service E-mail /
Technical E-mail /
Business Type / Sole Proprietorship
 / Partnership  / Corporation LTD LLC
   / Franchise  / Other 
What?______
Date & State Business Established / Date & State Incorporated
Corporate Headquarters (City) / Corporate Headquarters (State) / Number of Employees
Gross Annual Revenue – (BBB Internal Use Only. Important information to determine size of business for calculating Rating) / Number of Active Customers
(BBB Internal Use Only)
___ 1 – 499
___ 500 – 49,999
___ 50,000 – 99,999
___ 100,000 – 999,999
___ 1,000,000 – 9,999,999
___ 10,000,000 – 49,999,999
___ 50,000,000 and more / Business Scope
___Local 1 Location
___Local Multiple
___Regional
___National
___International
___Internet Only
Description of products and services offered:
Refund/Exchange Policy:
Brands You Sell:
Products You Sell:

Methods of Payment Accepted: Hours of Operation:

Visa / Cashiers Check / Monday:
MasterCard / Debit Card / Tuesday:
Discover / Money Order / Wednesday:
American Express / Pay Pal / Thursday:
Cash / Auto Withdrawal / Friday:
Personal Check / Online Payments / Saturday:
Business Check / Other / Sunday:
Type of Business (Same as Yellow Pages)
1. / 2.
3. / 4.
5. / 6.

LICENSING OR BUSINESS REGISTRATION

Name of Licensing Authority / License Number / Date Issued / Expiration Date
State Issued
Name of Licensing Authority / License
Number / Date Issued / Expiration Date
State Issued

NAMES, TITLES AND ADDRESSES OF OWNERS/PRINCIPLES

Mr. / Name / Title / T-Mail
Telephone ( )
Ms.
Mr. / Name / Title / E-Mail
Telephone ( )
Ms.
Mr. / Name / Title / E-Mail
Telephone ( )
Ms.

COMPLAINT CONTACT

Mr. / Name / Title / Email
Telephone ( )
Ms.
COMPLAINT CONTACT METHOD
E-mail  / Fax  / Mail

INFORMATION PROVIDED BY
Signed By / Title / Date

By signing this document your company attests that this is true and accurate information. The BBB reserves the right to request validation of the above information at any time. Please notify the BBB immediately if any of the information changes in the future.

Please fill out and return to: Better Business Bureau of Metropolitan Houston 1333 West Loop South, Suite 1200, Houston, Texas 77027