Rent a Chocolate Fountain in California

*Required information

Chocolate Fountain Candy Buffet

CLIENT INFORMATION

EVENT INFORMATION

* Your Name:

* Date of Event:

Company Name:

Day of the Week:

Address:

Start Time:

City:

End Time:

State:

Zip Code:

Event Description:

* Main Phone Number:

Color Scheme:

Cell Phone Number:

Number of Guests:

* Email Address:

Event Location:

How did you find out about
Pure Bliss Chocolate Fountains?

Caterer or Location
Contact:

Phone Number:

FOUNTAIN SELECTION

Cell Phone:

Type of Chocolate:

Dark Chocolate
Milk Chocolate
White Chocolate

Email:

Custom Color
($50.00 additional charge)

DIPPING ITEM SELECTION

Client requests Pure Bliss Chocolate Fountains to provide dipping items
Under 50 guests is $3.00 per Guest Over 50 guests is $2.50 per Guest

Please choose five dipping items:

* Strawberries ordered out of season may require an additional .25c charge.

CANDY BUFFET SELECTION

Client requests Pure Bliss Candy to provide the add on candy buffet
Under 50 guests is $7.00 per Guest Over 50 guests is $5.00 per Guest

ADDITIONAL DETAILS

Travel Charge for Riverside, Los Angeles, or San Diego County:

Overtime ($50 1/2 hour):

Extra Chocolate Charge for Number of Guests Over 200
($.50 per guest):

Please Enter Any Questions or Comments Below:

Enter Given Text

Acceptance of Terms and Conditions
I have read and accept the Terms and Conditions of this online contract and realize the chocolate fountain can not be used outdoors.

Please click here to view Terms and Conditions of this Rental Contract
Once your reservation has been confirmed, you will receive an e-mail contract form and invoice showing your total. A $150.00 deposit is required to hold the date. Payments are accepted via Paypal, Visa, Mastercard, or Check.

For questions please call or e-mail Pure Bliss Chocolate and Pure Bliss Candy at (949) 228-3811 or info@pureblisschocolate.com