Divalicious Chocolate Fountain Order Form

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Divalicious Chocolate Fountain Rental
Reservation Request Form

SMALL Fountain feeds up to 100 people $450
MEDIUM Fountain feeds up to 300 people $550
LARGE Fountain feeds up to 600 people $690

About Reserving A Chocolate Fountain
Chocolate fountains are available on a first-come, first-served basis.To ensure your Divalicious Chocolate Fountain reservation, a signed rental contract and a non-refundable retainer of $200.00 is required.

Please read the terms and condtions of our rental contract. (Download or read contract Word document)
Fill out the form below and hit the SUBMIT button.
A Divalicious Chocolate Fountain Rental Representative will contact you within 48 hours to confirm your reservation, arrange payment and finalize the contract.

YOUR CONTACT DETAILS
Your Full Name:
Company Name:
Street Address:
City:
State:	Zip Code:
Home Phone Number:
Cell Phone Number:
Work Phone Number:
Fax Number:
Email Address:
I found Divalicious Chocolate Fountains via:
Other	(please specify)
YOUR EVENT INFORMATION
Date of Event:
Day of the Week:
Fountain Dipping Start Time:
Fountain Dipping End Time:	(3 hours included)
Type of Event:
Number of Guests:

YOUR LOCATION INFORMATION
Name of Location:
Street Address:
City:
State:	Zip Code:
Name of Caterer or Location Contact:
Phone Number:
Cell Phone:

YOUR FOUNTAIN RENTAL
Fountain Size:	Small Fountain - $450
	Medium Fountain - $570
	Large Fountain - $690
Includes 3 hours of chocolate; attendant; delivery*, set up, maintenance, clean up &, removal; skewers & napkins.

Your Choice of Chocolate:	Dark Chocolate
	Milk Chocolate
	White Chocolate

YOUR OPTIONS
I'd like Divalicious Chocolate Fountain Rentals to provide dipping items
Divalicious "Dippable" packages start at $2.50 per guest; see "Dippable" suggestions

I need you to travel (LI, Upstate, CT. NJ)*:	($35 per half hour in both directions (outside five borough delivery area)
I'd like additional time:	($35 per half hour)


Please Enter Any Questions or Comments Below:

Acceptance of Terms and Conditions
I have read and accept the Terms and Conditions of the rental contract. Please click here to view Terms and Conditions.
I understand that Divalicious Chocolate Fountains MUST be used indoors only and CANNOT be used outdoors under any circumstance.
Your reservation will not be accepted if the above boxes are not checked.

Payment Terms: At this point we only accept checks or cash for fountain payments.

QUESTIONS? Call 7I8.522.7266

divaIicious chocolate fountain rentals
DIPPING THE BIG APPLE IN WARM CASCADES OF CHOCOLATE DELIGHT

PH: 718.522.7266 FX:718.855.2411