Gratification Points Request

To honor missing loyalty points, requests must be submitted within 30 days of your visit.

Name

First Name

Last Name

Email*

Phone*

When did you dine with us?*

We cannot honor any request on a purchase made prior to 72 hours from this request date and time.

What was your check number?*

Number can be found on top left corner of check.

What are the last 4 digits of the card you used?*

If paid with cash, just write CASH.

Which location did you dine at?*

What is your Gratification card number?*

16 digit code on the back of your card.

What was your check total (including tax)?*

Additional Comments

GRATIFICATION POINTS REQUEST