OUR MISSION
To be the leader in advancing marketplace trust / / OUR VISION
An ethical marketplace where buyers and sellers can trust each other
Better Business Bureau
Standard Business Questionnaire

Business Name/DBA(Appears first on the Business Review)

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ID #

Legal DBA

Additional Name/DBA (s)

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Legal DBA

Corporation

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LLC

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Sole Proprietor

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Partnership

Non Profit (501c6)

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Charity (501c3)

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Franchise

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Other

Business Start Date

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State of Incorporation

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Incorporation Date

Telephone

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Fax

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Additional

Current Number of Employees / Annual Customer Base / Annual Gross Revenue
Company Website www.
Public Email (Will be used for all communication unless otherwise specified)

BusinessAddress (s) (A physical and mailing address is required, and at least one must be publicly reportable.

Physical Address / City / State / Zip / Don’t Report
Mailing Address / City / State / Zip / Don’t Report
Additional Location / City / State / Zip / Don’t Report
Is there a parent or affiliated business? YES NO / Business Name / State
Business Services(Will be used to categorize your company when consumers are seeking a service and not a specific business)
This company offers:
What is your company’s primary industry/service? (One required, attach separate sheet if necessary)
Additional industries/services:
What is your company’s service area?
Operating Hours
Licensing(List all required, attach separate sheet if needed) / Licensing Agency
Licensee Name
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License Number
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Expiration
Business Contacts(Principal/Owner will be the primary contact for consumers, e-quote complaints, unless otherwise noted)
Principal/Owner Mr. Ms.
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Title
Email
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Telephone Ext:
Complaint/Customer Review Contact Mr. Ms.
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Title
Email
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Telephone Ext:

Preferred delivery method for complaints(choose one)

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Mail

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Email

BBB Contact Mr. Ms.

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Title

Email

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Telephone Ext:

E-quote Contact Mr. Ms.

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Title

Email

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Telephone Ext:

Billing Contact Mr. Ms.

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Title

Email

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Telephone Ext:

Would you like to apply for BBB Accreditation? YES NO

Information provided by

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Title

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Date

529 College Rd., Suite G. • Greensboro, NC 27410 • Phone: 336.852.4240 • Fax: 336.852.7540

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Revised 3/27/18