Chocolate Fountains
Client Mailing Address
* Name:

* Address:

* City:

* State:

* Zip:

* Daytime Phone:
(Format: 123-123-1234)

Fax:
* Email:

   
Event Address
* Person or Company Name:

* Address:

* City:

* State:

* Zip:

* Event Phone:
(Format: 123-123-1234)

Pager or Cell:
   
* Party Date:

Is it a "Surprise Party?" Yes No
How did you hear about us?
* What time does the event start?
We will deliver at least one hour prior

* What time does the event end?

Is next day pick up okay?
Equipment must be in a secure location
How many guests are expected?
* How many Chocolate Fountains?

How many days rental?
* What type of chocolate?
(hold down control button
to select multiple flavors)

Click here to open chocolate menu window for more information.

Are there more than four (4) stairs? Yes No
Can we provide you with any of our other rental items for your event? Misting Fans
Generators
Outdoor Heaters
Frozen Drink Machines
No, I won't be needing any other items from Rollin' Rita's
Credit Card Number
:   Expiration Date

 

      

If you are looking for something we don't offer, please let us know & we'll be more than happy to give you referrals of only the best in the business.

Indicate additional flavors, special instructions, etc. If you have questions, please fill out form below as well.

Upon receipt of your order, we will call you to confirm the details.