BBBOnline Application

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BBB Online Reliability Application

I (We) hereby apply for participation in BBBOnLine. I (we) understand that this application and my company website will only be approved if it meets BBB standards. Once approved, BBB will provide instructions about placement of the BBB logo onto your website.

BBB Rep: ________________

Company Information

Corporate Name

Other Company’s Name (DBA)

Additional DBA:

Headquarters Address

Local Address

City

State

Zip

Main Phone Number

Main Fax

# of Employees

Date Company Started

Primary URL

Primary Email

Site/Company Description: Please provide a brief description of products or services offered:

Keywords: Please provide 6 relevant keywords that best represent your website. These keywords will be used to identify your company in the BBB Online participants search engine.

_________________________ ___________________________

_________________________ ___________________________

_________________________ ___________________________

President/CEO/Owner

Full Name

Title

Phone Number

Cell Phone (Internal Use Only)

Email

Customer Service Contact

□ Same as the above

Full Name

Title

Phone Number

Email

Technical Support Contact

□ Owner/CEO □ Same as the Customer Service Contact

Full Name

Title

Phone Number

Email

Name (print):_______________________________________

Title: ____________________________

Signature: _________________________________________

Date: ____________________________

PLEASE NOTE:

If there are any changes in positions or contact information provided, please notify our office immediately.

Fae Wardrip - Phone: 404-762-4410 
                     FAX: 678-539-2790

Email: bbbonline@atlanta.bbb.org