Mandatory fields will be marked with an *
Welcome to your application. Let's get started.
First tell us a few things about yourself.
The front of your American Express Card has room for up to 20 characters. You can select how you want your name to appear on the Card by clicking on the drop down box. Your surname must appear on the Card. If you have a long name, you may need to use just an initial and your surname
Your email address may help us to contact you quickly if we have any questions about your application. It will not be used for marketing purposes unless you select to opt-in.
Qualified Applicants must:
By selecting this box, you agree to let American Express retain your information and contact you
about the status of your application. For additional information, please read our Privacy statement. (Note the content contained in this link may not be viewable on a mobile device).
Please take this opportunity to read the application Declaration and how we will use your personal information.
Please check the box to confirm you have read and agree to the above Declaration.
Hello , all your information is protected on this secure site, and only used to process your Application.
We require your home phone number and your address as part of our credit checks. We may use these details to get in contact with you about your Application.
Your home telephone number is required as part of our standard credit checks. Having it will help us to process your application as quickly as possible. Remember, it will never be given out to anyone else or used for marketing purposes without your permission.
Your mobile phone number may help us to contact you quickly if we have any questions about your application. It will not be used for marketing purposes or given to anyone else, without your permission.
For your security a new Card must go to your residential address. You can change to your preferred statement address at a later date
We need to know your residential address to help with our credit checks.
We need to know the status of your accommodation to complete our credit checks
If you have lived at your current address for less than 5 years, we will ask for information on your previous address. Again, this information is required as part of our credit checks and will help speed up your application.
As you have lived at your current address for less than 5 years, we need your previous address to complete our credit checks.
If your previous address is outside of Australia, we need your overseas address. This information will assist us with your application.
We need information about your finances for our credit checks. All your information is protected on this secure application site.
We need to know your employers address, to help with our credit checks.
Please enter your personal annual income for the year before taxes, from all sources.
Please enter your partnerís / spouseís income for the year before taxes, from all sources.
Please enter your gross income for the past 12 months only.
Please enter your other annual income for the year before taxes, from all sources.
Please enter your partnerís / spouseís annual income before taxes, from all sources. If $0 please enter $0.00
Please provide details of credit cards that are NOT held with American Express. We will use this information as part of our application processing.
You will be pleased to know that the annual Card fee includes automatic enrolment in our leading Membership Rewards program, Ascent Premium, saving you $80 every year.
Membership Rewards Ascent Premium has been specifically designed for frequent travellers who want the advantage of transferring points to any of our airline rewards partner programs. It gives you access to 9 leading airline rewards partners, including Qantas (1 Membership Rewards point = 1 Qantas Frequent Flyer point), Singapore Airlines (1 Membership Rewards point = 1 KrisFlyer Mile) and Cathay Pacific (1 Membership Rewards points = 1 Asia Miles).
In addition, you can redeem your points to pay for pre-paid travel through a dedicated Platinum Travel Service team. You can book virtually any airline or hotel you want, your points can even cover all the extras such as car hire, tours or airport taxes and you’ll never experience the inconvenience of seat restrictions or blackout dates.
Ascent Premium also offers great retail rewards with the latest hi-tech products like Wii games. You can even redeem your points for gift cards at leading retailers such as David Jones and Tiffany & Co.
You can apply for a supplementary Card for any family member including a spouse or defacto partner, over 18 years of age. You will be the main Cardholder, but the extra Cardholder will be able to make purchases on the Card.
For added flexibility, you can order an extra Card for a partner, family member or friend over 18 years of age. You will be responsible for paying for the charges on the Card.You can view the charges made on the extra Card both online and on your paper statements. The extra Cardholder can view their charges online but they will not be able to view your charges or other account activity.
We need this information to help with our application processing
If the Supplementary Card applicant is an existing American Express Card Member, please provide their Card number.
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