* BOOKING FORM *

Any QUESTIONS regarding your booking please call Luke on: 03 9386 0246. Receive 10% Discount when you Book Online.

*Please fill in ALL required fields indicated below (*) and we will contact you shortly to confirm your booking.

Name: *
Email Address: *
Date of Event: *	Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / Month January February March April May June July August September October November December / 2010 2011
Time of Event: *	Morning Afternoon Evening
Delivery Address: *
Suburb: *
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Chocolate Fountain Hire Package:	--Set up Package with Strawberries-- 103cm Chocolate Fountain Code: 1033 90cm Chocolate Fountain Code: 903 70cm Chocolate Fountain Code: 703 --Set up Package-- 103cm Chocolate Fountain Code: 1032 90cm Chocolate Fountain Code: 902 70cm Chocolate Fountain Code: 702 --Basic Package-- 103cm Chocolate Fountain Code: 1031 90cm Chocolate Fountain Code: 901 70cm Chocolate Fountain Code: 701
Chocolate Type:	Milk Dark White
Cocktail Machine Hire Package:	Premium Cocktail Package Code: DAQ3 Cocktail Party Starter Code: DAQ2 100 Cocktail Pack Code: DAQ1
Cocktail Machine Flavour:	View our list of flavours: Cocktail Flavours
Would you like extra cocktail mix:	Yes   No
If Yes:	50 Drinks 100 Drinks
Combo & Kids Hire Package:	Cocktail Machine & Chocolate Fountain Package Code: COMBO1 Cocktail Machine & Chocolate Fountain Package Code: COMBO2 Ultimate Party Entertainer Code: KP1 Slushie Party Pack Code: KP2
Preferred Deposit: *	Please Select Cheque VISA/Mastercard Direct Deposit EFT
	For all VISA/Mastercard deposits you will be contacted within 24 hours of submitting your booking.
How did you hear about us?	Internet Search Engine Google Advertisement Exhibition Event/Function Friend Other
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Please be assured that we treat this information as confidential and that we will not share this information with any third party.