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KSMTA FreightMath™ Assessment (FMA)
Please complete the form below. Your responses are completely confidential. We will evaluate your information and contact you to discuss our analysis of the benefit your company can achieve by participating in the FMA process.
*
1.
Primary Contact for the FreightMath Assessment
(Required.)
Name
Title
Email
Phone
*
2.
Carrier Name and SCAC
(Required.)
Carrier Name
SCAC
*
3.
Carrier Address
(Required.)
Street Address
City
State/Province
Zip/Postal Code
*
4.
Carrier Capacity (# of Trucks)
(Required.)
Company Trucks
Owner Operator Trucks
Lease Purchase Trucks
Other Trucks
*
5.
Modes of Operation (Check all that apply)
(Required.)
Dryvan
Refrigerated
Flatbed
Bulk
Other
Brokerage
*
6.
Brief Description of Carrier, Services, and Geographic Footprint
(Required.)
*
7.
Brief Description of Current or Past Freight Network Management
(Required.)
*
8.
Transportation Management System (TMS)
(Required.)
TMW Suite / Operations
McLeod Onsite
McLeod Hosted
TMW ICC Onsite
TMW ICC Hosted
TruckMate
Ditat
Other (please specify)
*
9.
TMS Data Contact
- KSMTA requires certain load level operational data from your Transportation Management System (TMS). Please authorize KSMTA and/or its authorized representatives to contact the name provided below to access your TMS and extract the required data. (All data is protected by the NDA between KSMTA and your Company.)
(Required.)
Name
Title
Email
Phone
*
10.
Financial Data Contact
- KSMTA requires certain financial information (Trial Balances, Financial Statements, Driver Pay information, Miles, etc). Please authorize KSMTA to contact the name provided below to provide and discuss the required financial information. (All data is protected by the NDA between KSMTA and your Company.)
(Required.)
Name
Title
Email
Phone
11.
Comments
- Please include any other information we should be aware of regarding the structure of your business.
*
12.
Accept Terms and Conditions.
(Required.)
By checking this box, I accept KSMTA's
Terms of Service
,
Privacy Policy
, and
Cookie Policy
13.
Please add me to the KSMTA email list.
Yes