Contact Us

1-800-860-8027

To contact us, please complete the following fields and submit.
An Independence representative will respond shortly.

  *Denotes a required field.
*I am a Current Customer
New Customer
Vendor/Manufacturer
Other
*I wish to contact 
Account #
*Name
Title
*Company
*Address
 
 
*City
 *State   *Zip 
*Phone
 Ext. 
Fax
E-mail
*Contact me by Phone E-mail
*Comments