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 - facebook - 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, 6lbs - $75.00 Yes, 10 lbs - $125.00 Yes, 16 lbs - $200.00 Yes, 20 lbs - $250.00

Choose your Chocolate - Dark Chocolate - Milk Chocolate

Would you like us to supply your dipping items? YES / NO

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, if you need to mail it, contact us for our mailing address.

ATLANTA CHOCOLATE COMPANY.COM