Chocolate Fountasia
Chocolate Fountain Rental - Maryland, DC and Virginia
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Event Request Form
*First Name
*Last Name
*Street Adress
*Zip Code
*Home Phone
Cell Phone
Work Phone
*Email Address
*Type of Event
-Select a choice-
Wedding Reception
Corporate Event
Catered Event
Christmas Party
Birthday Party
Anniversaries
Conventions
Trade Show
Banquet
Buffet
Other
Bar/Bat Mitzvah
*Date of Event
*Time of Event (approx.)
*Event Location
*Number of Guests
*How did you hear about us?
-Select a choice-
Friend
Internet Search
Another Web Site
Word of Mouth
Event
Other
*Select the package that you are interested in
-Select a choice-
More than 500 guests
Small (up to 100 guests)
Medium (up to 300 guests)
Large (up to 500 guests)
Additional Information (optional)
A $200 deposit is required for every event.
We accept Cash, Check, and most credit cards through PayPal.
To pay through PayPal, click the button below:
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