Chocolate Fountain Reservation CHOCOLATE FOUNTAIN RESERVATION Client Mailing AddressName(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Daytime Phone(Required)MobileFaxEmail(Required) Event AddressPerson or Company Name(Required) Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Event Phone(Required)MobileEvent InfoEvent Date(Required) MM slash DD slash YYYY Start Time(Required)Please enter the actual start time of your event so we can plan our routes. We will deliver at least one hour prior to the event. Hours : Minutes AM PM End Time(Required) Hours : Minutes AM PM Number of Expected GuestsIs it a Surprise Party? Yes No Is Next Day Pick-Up OK? Equipment must be left in a secure location. Yes No What size Fountain?Medium - 27" or Large 34" Medium Large How many Chocolate Fountains?Which type of chocolate?(Required)Multiple Selections AllowedDark Chocolate : Usually the most popularWhite Chocolate : Easily color tinted to match your themeAre there more than 4 (four) stairs? Yes No Can we provide you with any of our other rental items for your event?Multiple Selections AllowedMisting FansFrozen Drink MachinesOutdoor HeatersNo, nothing else thank you.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.Instructions/Comments/QuestionsIndicate additional flavors, special instructions, or any questions you may have.How did you hear about us? Billing InformationCredit Card Number(Required) Expiration Month(Required)123456789101112Expiration Year(Required)202220232024202520262027202820292030Security Code(Required)3 digits on back of Visa, MC, Discover - 4 digits on front of AMEX Upon receipt of your order, we will send an email confirmation (please check your spam folder too).CAPTCHAEmailThis field is for validation purposes and should be left unchanged.
