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Date you wish to celebrate your birthday (NOT YOUR ACTUAL BIRTHDAY) * MM / DD / YYYY
Please note: We only host weekend events during summertime, 3 day holiday weekends, thanksgiving holiday weekend, some fridays and saturdays. (Otherwise specified)
Name * First Last
Email *
You may contact me on my *
Cell Phone Home Phone
Phone * ### - ### - ####
Call me *
in the Afternoon 3pm-5pm in the Evening 5pm-9pm
Number of guest expected *

Just an estimate?
I want... *
to celebrate my birthday at one of the Klub Ice events to rent the venue and have a private event with my invited guest only Klub Ice to help coordinate my entire birthday. Decorations, Artist/DJ booking, Catering, etc...
I need your Ultimate Klub Ice A-List Premium package info *Balloons, Birthday Cake, Refreshments, VIP Tables, Custom Birthday Flyer invitation, Personal Photographer (Extra Charge $300-$500) *
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