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Mailing Address |
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| * Daytime Phone: |
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| Fax: |
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| * Email: |
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| Event Address
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| Person or Company Name: |
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| Address: |
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| City: |
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| State: |
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| Zip: |
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| Event Phone: |
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| Pager or Cell: |
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| Party Date: |
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| Is it a "Surprise Party?" |
Yes
No |
| How did you hear about us? |
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What time does the event start?
We will deliver at least one hour prior |
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| What time does the event end? |
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Is next day pick up okay?
Equipment must be in a secure location |
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| How many guests are expected? |
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How many Chocolate Fountains?
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| How many days rental? |
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What type of chocolate?
(hold down control button
to select multiple flavors)
Click here to open chocolate
menu window for more information.
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| Are there more than four (4)
stairs? |
Yes
No |
| Can we provide you with any
of our other rental items for your event? |
Misting Fans
Generators
Outdoor Heaters
Frozen Drink Machines
No, I won't be needing any other items from Rollin'
Rita's |
| Credit Card Number |
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Expiration Date
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If you are looking for something we don't offer,
please let us know & we'll be more than happy to give
you referrals of only the best in the business.
Indicate additional flavors, special instructions,
etc. If you have questions, please fill out form
below as well.
Upon receipt of your order, we will call you to confirm
the details.
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