Contact Information

		Product	Points	Quantity	Total
Grand Total: 0

Name*
First Last
Redemption for Gift Card Option*
- Load My Koki Club Card
- Mail Gift Card(s)
If you are redeeming points for a gift card, you have the option of a gift card mailed to you or having the card value added to your Koki Club card to use in the restaurant. Same Restrictions Apply: Card value void for alcohol, sales tax, and gratuity.
Company
Address*
Street Address Address Line 2 City State ZIP Code
Cell Phone*
Email*
Koki Club Account #*
Comments
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**Interpretation of Club rewards is at the sole discretion of Mikuni Restaurant Group, Inc.

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