Transmedik | Independent Freight Agent Questionnaire

Contact Information

Name*

First Last

State*

If located outside of US, which country?

Phone*

Alternate Phone

Email*

How did you hear about us? Check all that apply.*

What is your current position?*

Describe all past and present work experience*

How many years of freight brokerage experience do you have?*

Do you have a customer following?*

How many customers?*

How many loads per week?*

Gross sales the last 12 months?*

Gross profit the last 12 months?*

Profit margin per load?*