BBB Register Your Business
False
Step 1
: Business Names
Step 2
: Business Location / Mailing Address
Step 3
: Business Phone
Step 4
: Business Contacts
Step 5
: Business Web and Email Addresses
Step 6
: Business Licensing
Step 7
: Type of Business and Services/Products
Step 8
: Business Structure
Step 9
: Business Payment Policies and Brands/Products
Step 10
: Applicant Info
Business Name:
(required)
Doing Business As (DBA):
I wish to provide more BUSINESS NAMES.
Enter additional information above - one business name per line.
Business Address:
(required)
City:
Zip/Postal:
State/Province:
--
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces Africa
Armed Forces Americas (except Canada)
Armed Forces Canada
Armed Forces Europe
Armed Forces Middle East
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Distrito Federalns
Ireland
Manitoba
Mexico
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
United Kingdom
Yukon
Store Number:
Check all that apply:
Home Based
Main Office
Branch Office
eCommerce
Mall Location
Mall Name:
Mailing Address is the same as the Location Address
Mailing Address:
(required)
City:
Zip/Postal:
State/Province:
--
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces Africa
Armed Forces Americas (except Canada)
Armed Forces Canada
Armed Forces Europe
Armed Forces Middle East
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Distrito Federalns
Ireland
Manitoba
Mexico
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
United Kingdom
Yukon
Corporate HQ City
/ State:
I wish to provide additional ADDRESS information.
Enter additional information above - one address per line.
Business Phone:
(required)
Business Fax:
Private Phone:
(BBB Internal Use Only)
Opt-Out of SMS Text Messages from BBB
Opt-In of SMS Text Messages from BBB (Please provide a valid cell phone #)
Cell Phone:
I wish to provide additional PHONE/FAX information.
Enter additional information above - one phone/fax number per line. Please label additional fax numbers as such.
Principal Contact:
Salutation:
select
Mr.
Mrs.
Miss
Ms.
Dr.
Mx.
Admiral
Bishop
Brother
Captain
Chaplain
Colonel
Deacon
Dean
Father
General
Judge
Lieutenant
Major
Officer
Padre
Pastor
Professor
Rabbi
Reverend
Sergeant
Sheriff
Sister
The Honorable
Deputy
Mr.
Mrs.
Miss
Ms.
Dr.
Mx.
Admiral
Bishop
Brother
Captain
Chaplain
Colonel
Deacon
Dean
Father
General
Judge
Lieutenant
Major
Officer
Padre
Pastor
Professor
Rabbi
Reverend
Sergeant
Sheriff
Sister
The Honorable
Deputy
First Name:
(required)
Middle:
Last Name:
(required)
Suffix:
select
Jr.
Sr.
II
III
IV
CA
CAA
CAE
CFP
CMFC
CPA
DDS
DMD
DO
DPM
DVM
EA
Esquire
LCSW
LCSW-S
LISW
LISW-S
MD
MSW
OD
PhD
PT
RD
RN
RTRP
SRTP
AIA
APRN
AuD
CTech
DA
DBA
DC
EdD
JD
LMBT
LMT
LPN
PA-C
PE
PEng
PsyD
RMO
RMT
RPN
Title:
(required)
Email:
(required)
Phone:
(required)
Ext:
Fax:
Cell:
Contact this person about any complaints against this business.
Secondary Contact:
Salutation:
select
Mr.
Mrs.
Miss
Ms.
Dr.
Mx.
Admiral
Bishop
Brother
Captain
Chaplain
Colonel
Deacon
Dean
Father
General
Judge
Lieutenant
Major
Officer
Padre
Pastor
Professor
Rabbi
Reverend
Sergeant
Sheriff
Sister
The Honorable
Deputy
First Name:
Middle:
Last Name:
Suffix:
select
Jr.
Sr.
II
III
IV
CA
CAA
CAE
CFP
CMFC
CPA
DDS
DMD
DO
DPM
DVM
EA
Esquire
LCSW
LCSW-S
LISW
LISW-S
MD
MSW
OD
PhD
PT
RD
RN
RTRP
SRTP
AIA
APRN
AuD
CTech
DA
DBA
DC
EdD
JD
LMBT
LMT
LPN
PA-C
PE
PEng
PsyD
RMO
RMT
RPN
Title:
Email:
Phone:
Ext:
Fax:
Cell:
Contact this person about any complaints against this business.
I wish to provide additional CONTACT PERSON information.
Enter additional information above - one contact person per line.
Web Site Address (URL):
I wish to provide additional WEB ADDRESSES.
Enter additional information above - one web address per line.
Public Email:
Request a Quote Email:
Request a Quote
provides consumer bid and service requests that are emailed directly to the provided address.
Sales Email:
Customer Service Email:
Tech Support Email:
When BBB sends information - such as requests from potential customers - our preferred method of contact is:
select
-- Please Select --
Do Not Send Business Quote Requests
Email
Phone/Text Message
Both Email & Phone/Text Message
Licensing Required?
Yes
No
Licensing Number:
Agency:
Issued:
Expiration:
I wish to provide additional LICENSING information.
Enter additional information above - one license (agency/number/expiration) per line.
Description of Services/Products:
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Your Service Area:
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What Industry is your Business In?
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Employer Identification Number (EIN):
When and Where did the Business Open:
(required)
Date:
October 2024
October 2024
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State:
select
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces Africa
Armed Forces Americas (except Canada)
Armed Forces Canada
Armed Forces Europe
Armed Forces Middle East
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Distrito Federalns
Ireland
Manitoba
Mexico
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
United Kingdom
Yukon
*
Incorporated:
Date:
October 2024
October 2024
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State:
select
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces Africa
Armed Forces Americas (except Canada)
Armed Forces Canada
Armed Forces Europe
Armed Forces Middle East
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Distrito Federalns
Ireland
Manitoba
Mexico
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
United Kingdom
Yukon
Type of Business Entity:
(required)
select
-- Please Select --
Association
B Corporation
Charity/NonProfit
Common Law Trust
Cooperative Association
Corporation
Federal Corporation
Franchisee
Franchisor
General Partnership
Government
Limited Liability Company (LLC)
Limited Liability Limited Partnership (LLLP)
Limited Liability Partnership (LLP)
Limited Partnership (LP)
Not For Profit
Partnership
Private Limited Company by Shares (LTD)
Professional Corporation (PC)
Professional Limited Liability Company (PLLC)
Referral Agency
S Corporation
S-Corp
Series LLC
Social Enterprise
Sole Proprietorship
*
Local Business Start Date:
October 2024
October 2024
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# of Employees:
(required)
This is a number, (Example 5).
Please enter the number of full time employees.
2 part time employees = 1 full time employee.
Average Single Sale ($):
Gross Annual Revenue:
$
- or select below -
Brands You Sell (1 per line)
Products You Sell (1 per line)
Refund & Exchange Policy
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Delete Row
Column
Insert Column to the Left
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Delete Column
Cell
Merge Cells Horizontally
Merge Cells Vertically
Split Cell Horizontally
Split Cell Vertically
Delete Cell
Cell Properties
Table Properties
Properties...
Image Map Editor
Properties...
OpenLink
Remove Link
Insert Select
Cut
Copy
Paste
Paste from Word
Paste Plain Text
Paste As Html
Paste Html
RadEditor hidden textarea
Payment Methods You Accept
Cash
Money Order
American Express
Debit Card
Financing
Personal Check
MasterCard
Discover
Automatic Bank Withdrawal
Venmo
Business Check
Visa
PayPal
Online
EFT
Cashiers Check
Additional Notes/Details to BBB:
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Row
Insert Row Above
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Delete Row
Column
Insert Column to the Left
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Delete Column
Cell
Merge Cells Horizontally
Merge Cells Vertically
Split Cell Horizontally
Split Cell Vertically
Delete Cell
Cell Properties
Table Properties
Properties...
Image Map Editor
Properties...
OpenLink
Remove Link
Insert Select
Cut
Copy
Paste
Paste from Word
Paste Plain Text
Paste As Html
Paste Html
RadEditor hidden textarea
Your name is the same as the Principal Contact
Your Name:
(required)
Your Title:
(required)
Your Email:
(required)
Your Preferred Language:
select
English
Arabic
Bilingual – Spanish
Chinese
French
German
Hindi
Italian
Japanese
Korean
Portuguese
Russian
Spanish
Tagalog
Vietnamese
You may email me about my interest in BBB Accreditation for my business.
I certify that all the information provided in this application is true and accurate to the best of my knowledge & I am authorized to submit this information on behalf of the business.
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