BBB In the State of New Jersey Business Profile

In compliance with BBB Privacy Policy, BBB In the State of New Jersey will use the personal information you provide below only for the purposes for which you have given permission.

Thank you for your interest in 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 an application for accreditation.

Accreditation in 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 an accredited business, do you wish to apply for accreditation?

* *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
Gross Annual Sales
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 If you are interested in accreditation with BBB, please fill out the following references (if applicable)
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 BBB can Call for Additional Information
* Contact Name
* Title
* Work Phone
Fax

Information Provided By
* Contact Name
* Title
* Work Phone
Fax
How did you hear about us?
You selected "Radio" above. Which station?
You selected "Other" above. Please describe:



Accreditation in BBB is by invitation
Better Business Bureau - In the State of New Jersey 1700 Whitehorse-Hamilton Square Rd, Suite D-5 Trenton NJ 08690