CHOCOLATE FOUNTAIN RENTAL AGREEMENT/CONTRACT
Client information :
Full Name: ______________________________________________________________
Company Name: _________________________________________________________
Street Address: ___________________________________________________________
City: ________________________________________ State : _______ Zip: __________
Home phone: ____________________________________
Cell phone: ______________________________________
Work phone: _______________________________________
Fax: ______________________________________________
email: ____________________________________________________
How did you first find us? Circle one
google - search engine - google sponsored ad - yahoo - msn.com - america-dj.com - myatlantawedding.com - myaffair.com - gatheringguide.com - allwedding.com - weddingyellowpages.com - other search engine - friend - caterer - partypop.com - - other vendor
If (other) please specify:
Event Information :
Date of event: __________________________________
Day of the week: _______________________________
Fountain Start Time: _____________________________
Scheduled End Time: _____________________________
Type of event: _____________________________________
Number of guests: _____________________
Location Information :
Name of Location/Venue:___________________________________________________
Street Address: ___________________________________________________________
City: ________________________________________ State : _______ Zip: __________
Name of Caterer or Location Contact: _________________________________________
Phone: _____________________________________________
Cell: _______________________________________________
Email:______________________________________________
Fountain Rental Information :
Select your package
Choose your Chocolate:
Will you require additional chocolate?
No
Yes, 5 lbs - $35.00 Yes, 10 lbs - $70.00 Yes, 15 lbs - $105.00 Yes, 20 lbs - $140.00
Choose your Chocolate - Dark Chocolate - Milk Chocolate - White Chocolate
Questions/Comments:
Acceptance of Terms and Conditions:
I have read and accept the Terms and Conditions of this online contract - YES / NO
Signature ____________________________________________ Date _________________________
Please click here to view Terms and Conditions of this Rental Contract
I understand that Atlanta Chocolate Company Chocolate Fountains MUST be used indoors only and CANNOT be used outdoors under any circumstance. YES / NO
You can copy and paste your answers into an email and send it to us......or please contact us for our fax number to fax this to us.