ULI Vietnam Referring Form

Please fill all fields in the form below so we can better serve our potential customers.

We appreciate your referral and look forward to discussing our results with you in the near future.

Unique Services Air Ocean Brokerage Warehouse

Check the box if the contact knows that the Unique Sales Team will be contacting them?

Lead Company Name

State/Province of Lead Company

Lead Contact First Name

Lead Last Name

Lead Contact Email

Lead Contact Phone

Current Provider

Shipper

Movement Type

Import or Export

Monthly Shipment Totals

Notes and Comments About Referral

Agent Contact Name

Agent Contact Email

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