Gratification Points Request
Please fill the form out below if your loyalty card wasnt swiped on a purchase and you would like to request your missed points. The card must have been registered prior to the transaction date. The purchase must not be more than 72 hours prior to this request.
Please know, we need all of this information in order to process your request, if any information is incorrect we will not be able to fulfill your request. Please allow 3-5 business days. Thank You
When did you dine with us? (We cannot honor any request on a purchase made prior to 72 hours from this request date\time)
What was your check number? (Top Left of the check)
What are the last 4 digits of the card you may have used? (If Cash please write CASH)
Which location did you dine at?
What was your check total? (Including tax)
What is your gratification card number? (Usually starts with 60001404)
What is your email address?
What is your phone number?
Please leave any additional comments
Never submit passwords through Google Forms.
This form was created inside of Cafe Gratitude.
Terms of Service