Large White Chocolate Fountain








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Tasting the White Chocolate!

Grande White Chocolate Fountain


The Chocolate Mall

Chocolate Fountain
Information/Request Form

So you've done your research and have decided to go with The Chocolate Mall. We knew you'd be back!

Use this form to request more information or to reserve your fountain.

You're under NO obligation at all by filling out the form!

Simply complete this quick, easy to use form. Complete as many fields as possible, then click the submit button at the bottom of the page. We can then quickly expedite your request for information only or reserve your fountain for your special day!


You can also click the e-mail link at the bottom of this page or click the "Contact Us" link on any page. However, we will probably refer you  back to this page to complete it. We'll need this information before we can answer most of your questions.

If you would like to have the new TCM PHOTOBOOTH at your event, please add this information in the comments section  at the bottom of this form and submit it to us. We'll contact you shortly.

Last Updated October 7, 2011

Bride or Main Customer Full Name:

Groom or Secondary Customer Full Name:


Work Phone:

Cell Phone:

Home Phone:



Home Address:





Caterer Name and Tel #:

Date of Event:

Event  Name:

Event Street Address:

Service Time (example 6-9) and AM/PM (example PM) :


Number of Guests:

Event Theme/Colors:

Attendant Attire:

Area of Interest:

How did you hear about us?

Which search engine did you find us on?

Which advertisement led you to us?

For pricing information on the following selections, visit the prices link of our web site.

Select Type of Event Package:
TCM PhotoBooth Entertainment Package
TCM Deluxe Package
TCM Deluxe "2nd Fountain @ 1/2 Price" Special
TCM Deluxe Package

Select Fountain Size:
51" "Grande" Fountain - 350 Guests
44" "Large" Fountain - 250 Guests
36" Medium Fountain - 150 Guests
27" Medium/Small Fountain - 75 Guests
20" Small Fountain - 50 Guests
Multiple Fountains

Select Chocolate/Other Food Type - Check more than one if multiple fountains
For multiple fountains, check boxes, then indicate which chocolate type for main and 2nd fountain in comments section below:
Milk Chocolate
Dark Chocolate
White Chocolate
Colored Chocolate (Describe Below)
Bar-B-Que Sauce

Would you Like Dipping Items? If yes, indicate
choices in comments section below
Premium Dipping Items
Standard Dipping Package
I Don't Need Dipping Items
I'm Still Undecided
I Will Check With Caterer And Let You Know
I would Like Only The Dipping Item Display Set With Crystal, Polished Silver, Or White Porcelain, to Maintain Your Spectacular Look!

If you are ready to book now, check the first box below. If not, just check one of the other boxes. Then, click the "SUBMIT" button below.

I'm Ready to Book Now! Please Confirm My Date!
    (Complete all available info above, then submit)

I have a question and will send you an email.
I Have Special Events/Needs (Describe Below)
Other (Describe below)

What is most important to you:

Please provide a brief description of your planned event:

Any special circumstances/conditions required that we can help you with:

Any other comments about the form, web site, or other that you wish to describe? We welcome your input!

That's It!  Just click the submit button below, and we'll begin the process today!


If you have any questions about the form, or anything else, you can:

    Call us directly at The Chocolate Mall:

(561) 202-8460 South/Central Florida

Email us at:

 We'll be happy to discuss your needs, and we'll do our best to respond to your request the same day.

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