Please fill out the form below completely so we may best fulfill your request concerning our product, FMS.
| First Name |
|
| Last Name |
|
| Company Information |
| Company Name |
|
| Your Title |
|
| Address |
|
| City |
|
| State |
|
| ZIP Code |
|
| Phone Number |
Please enter area code |
| FAX Number |
Please enter area code |
| E-mail |
|
If your company has a Web site, please type in its address: http://
|
| Type of Industry |
(Please put anything that distinguishes your company, including TL, LTL, Van, Refri, Container, Haz Mat, etc.) |
| Modes |
Truck
Rail
Air
Marine |
| Fleet Size | Trucks:
Trailers:
Other:
|
| Systems Information |
Do you believe that your company is prepared for the future?
Yes
No If no, why not?
|
Do you currently have a software system to operate your business?
Yes
No If you entered yes, please answer the following questions in green text: |
| Current Platform |
(Intel, AS/400, UNIX, Apple Macintosh, etc.) |
| Current Operating System |
(Windows 95/98/NT, OS/400, HP/UX, Macintosh OS, etc.) |
| Current Software Name/Developer |
(Name and developer of the software system used to run your business) |
| Number of Users |
(Number of people using your current system) |
Does your company currently, or plan to, utilize e-business?
Yes
No If you entered yes, please indicate how you currently, or plan to, utilize e-business by answering the questions in green text: |
| On-line ordering |
Currently Have It
Planning to Have It |
| Business operations |
Currently Have It
Planning to Have It |
| Extended customer support |
Currently Have It
Planning to Have It |
| Other |
Currently Have It
Planning to Have It |
| Which software functionality does your current system have, and which ones would you like to have? |
| Company and personnel management |
Currently Have It
Would Like to Have It |
| Customer and contact management |
Currently Have It
Would Like to Have It |
| Order entry |
Currently Have It
Would Like to Have It |
| Dispatch operations |
Currently Have It
Would Like to Have It |
| Accounts receivable |
Currently Have It
Would Like to Have It |
| Accounts payable |
Currently Have It
Would Like to Have It |
| Driver settlement |
Currently Have It
Would Like to Have It |
| Equipment tracking and maintenance |
Currently Have It
Would Like to Have It |
| Inventory control |
Currently Have It
Would Like to Have It |
| Mileage tracking |
Currently Have It
Would Like to Have It |
| Fuel tax |
Currently Have It
Would Like to Have It |
| Drivers log |
Currently Have It
Would Like to Have It |
| Mapping software |
Currently Have It
Would Like to Have It |
| Document imaging |
Currently Have It
Would Like to Have It |
| GPS Interfaces |
Currently Have It
Would Like to Have It |
Please indicate below if you would like more information about any other areas of Surround Technologies' products and services besides FMS.
- AS/400 Technologies
- LANSA Application Development
- Remote Office Solutions
- E-commerce Solutions
- General Business Application Development Consulting
- General Information about Surround Technologies, LLC
- Other (Please describe below)
|
Please state how we can help you:
|
| |
| |
| |
The New Jersey Headquarters Office is located at: |
|
324 Belleville Ave
Suite 31
Bloomfield, NJ 07003 |
Our Florida Satellite Office address is: |
|
21301 S. Tamiami Trail
Suite 320, PMB 262
Estero, FL 33928 |
| |
We can be reached by phone, FAX or e-mail at: |
|
Phone: (973) 743-1277 FAX: (973) 743-1278
E-mail: surround_info@surroundtech.com. |