CLIENT INFORMATION

Your Full Name:

Company Name:

EVENT INFORMATION

Will the Fountain be Inside or Outside:

LOCATION INFORMATION

Cell Phone:

FOUNTAIN RENTAL INFO

Fountain Size:

Type of Chocolate:

Name of Your CCF Sales Representative:

OPTIONAL ITEMS

Client requests California Chocolate Fountains to provide dipping items ($2.75 per guest):

Please choose your 6 dipping items:

Please choose up to 6 dipping items.  Other suggestions include maraschino cherries, grapes*, rice krispy treats, butter cookies, pound cake and many more (*If seasonally available) - click here to view more dipping item suggestions

Optional Items:

Travel Charge:

Overtime:

Other:

PRICE TOTAL

Fountain Rental:

Dipping Items:

Number of Guest:

Dipping Items Total:

Travel:

Overtime:

SUB TOTAL:

OTHER

GRAND TOTAL

Please Enter Any Questions or Comments Below: