Client Information
Name:
*
Company Name:
Address:
City, State ZIP:
AZ
CA
NV
UT
Phone:
*
Fax:
email:
*
How did you hear about Eternally Chocolate?
Event Information
Event Date:
Friday July 30, 2010
Start Time:
*
1:
2:
3:
4:
5:
6:
7:
8:
9:
10:
11:
12:
00
30
AM
PM
End Time:
*
1:
2:
3:
4:
5:
6:
7:
8:
9:
10:
11:
12:
00
30
AM
PM
Type of Event:
*
Wedding Reception
Birthday Party
Holiday Party
Bridal Shower
Anniversary Party
Corporate Event
Charity Event
Bar/Bat Mitzvah
Quinceañera
Graduation Party
School Prom/Dance
Class Reunion
Engagement Party
Trade Show
Retirement Party
Banquet
Other
How many guests?:
*
Location Information
Location Name:
Address:
City, State ZIP:
AZ
CA
NV
UT
On-location Contact:
Phone:
Options
Type of Chocolate:
*
Milk Chocolate
Dark Chocolate
White Chocolate
Would you like us to provide dipping items?
(need info on the options? -
click here
)
*
Full Service
($2.00/guest)
Partial Service
($50.00)
Self Service
Dipping items:
(Choose up to 6)
Pretzels
Marshmallows
Strawberries
Pineapple
Bananas
Maraschino Cherries
Grapes
Rice Krispies Treats
Apples
Licorice
Gummy Worms
Cream Puffs
Oreos
Chocolate Chip Cookies
Other:
Other:
Other:
Additional Chocolate?
(2 lb/50 guests over 200)
None required
2 lb (250 total guests) - $10
4 lb (300 total guests) - $20
6 lb (350 total guests) - $30
8 lb (400 total guests) - $40
10 lb (450 total guests) - $50
12 lb (500 total guests) - $60
Additional Time?
($25/half hour)
None required
0.5 hr - $25
1.0 hr - $50
1.5 hr - $75
2.0 hr - $100
2.5 hr - $125
3.0 hr - $150
Wedding/Event Colors:
Comments or Questions?
(Maximum characters: 200)
You have
characters left.
*
I understand that the chocolate fountain may not be used outdoors.
My event will only use the fountain indoors. (
Why?
)
*
I have read and accepted the terms and conditions
of the
rental contract
.
info@eternallychocolate.com
|
Book your Fountain today!
