BBB Serving Florida's West Coast Business Profile

In compliance with BBB Privacy Policy, BBB Serving Florida's West Coast 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.

Click here for more information on what your BBB can do for you.

Accreditation in BBB is by invitation to companies that have been in business for at least 6 months 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:
 
Gross Annual Sales
Annual Number of Consumers
Number of Employees
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 learn about BBB Accreditation?
Found via Google?
Yes     No
What drove you to our website today?
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Accreditation in BBB is by invitation
Better Business Bureau - Serving Florida's West Coast
2655 McCormick Dr.
Clearwater FL 33759
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What is a BBB Business Review?

We offer free reviews on businesses that include background, licensing, consumer experience and other information such as governmental actions that is known to BBB. These reviews are provided for businesses that are BBB accredited and also for businesses that are not BBB accredited.

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BBB Reporting Policy

As a matter of policy, BBB does not endorse any product, service or business.

BBB Business Reviews are provided solely to assist you in exercising your own best judgment. Information in this BBB Business Review is believed reliable but not guaranteed as to accuracy.

BBB Business Reviews generally cover a three-year reporting period. BBB Business Reviews are subject to change at any time.