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Chocolate Fountain
   

A fun way to cap off your meal or perfect as a center piece on it’s own.
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home :: Order by Fax
 
 
Order By Fax

 

Order by Fax:

Please fill out the form below and fax it to: (858) 259-7076

Delivery?

Name:
Company:
Billing Address:
City:
Zip:

Tel:
Fax:
Email:
   
Delivery Address:
Address
City:
Zip:
Tel:
Special Instructions:
 
Order Form:
- Download form (Excel Doc.)

Your order will be charged 7.75% california sales tax.
Delivery fee will be assessed on receipt of your order.

 
Credit Card Info:
   
Type of Card:


Card Number:
Exp Date:
V-Code:
Customer hereby agrees that if their account runs more than a week in arrears that they authorize Shake & Roll Café to charge the above card for the amount owed at that point in time.

Signature:


Date:

 
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