REDEMPTION FORM Name: ____________________________________________ Phone: ____________________________________________ Company Name: ____________________________________________ Address: ____________________________________________ Cost Center (if applies): ____________________________________________ REWARDS Total Redeemable Brownie Points: ______________ Points Redeemed _____ Redeem For: Bella Sante Celtics Godiva Milk Street Cafe Odyssey Cruise Lines Timberland The Ritz Carlton Winston Flowers Amount _____ Points Redeemed _____ Redeem For: Bella Sante Celtics Godiva Milk Street Cafe Odyssey Cruise Lines Timberland The Ritz Carlton Winston Flowers Amount _____ Points Redeemed _____ Redeem For: Bella Sante Celtics Godiva Milk Street Cafe Odyssey Cruise Lines Timberland The Ritz Carlton Winston Flowers Amount _____ It is up to each individual to ensure that he/she is in compliance with the corporate policies of their company. Signature: ________________________ Date: ________________________ NOTE: To receive brownie points, orders must be paid for within 60 days of delivery of the order. If not, brownie points will be withheld. Please mail or fax (617/451-5329) completed form to receive your reward. Contact Liz Licona at llicona@milkstreetcafe.com with any questions. Please allow 3-4 weeks for delivery.