Reservation Form

Contact Information:



City   State    ZIP 
Email    Phone 

Event Information:

Event Date    Event Time 

Location of Event  

Location Phone    Loc Contact 

Services Reserved:

  Reserve Chocolate Fountain
Dark Chocolate      Milk Chocolate      White Chocolate

$500.00 for three hours operation, including 20 pounds of chocolate and attendant. Optional services are available as detailed below.

Additional time: $100 per hour      Additional chocolate: $10 per pound
$0.50 per mile charge over 40 miles (roundtrip)
[Dipping food, plates, napkins, skewers are provided by renter]

Payment: ($100.00 reservation deposit by check)


Total Amount Due 

Less Deposit$100.00

Balance Due          (30 days prior to event)

Cancellation Policy: Deposit is non refundable unless requested date is already booked. Balance Due payment is non refundable after 30 days prior to event.

Signature (if sent USPS)   

Please fill-in this form, print it out, and send it along with your deposit check of $100.00 to New England Chocolate Company, Inc., 123 Lafayette Road, Salisbury, Massachusetts 01952. If you also click on the "Submit Form" button above, we will get back to you to confirm the availability of your requested date.

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