Private Event Planner


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Welcome to the Event Planner Page.  Submitting this form will give Independence Country Club's Event Planner some general information concerning your upcoming event.  After we receive your submission, our Event Planner will evaluate the information and contact you personally with a proposal.  This form leaves you under no obligation to use our services.
 
 
EMail Address:
* Your Name:
Your Company:
Address:
City:
State:
* Phone Number:
Event Date:
Expected # of Guests:
Event Location:
Event Type:
Options: Buffet
Served
No Food (Room Only)
Bar
Dance Floor
Comments or Note:
Verification Code
Verify:   
(Please enter the verification code in the Verify box.)



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