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 is required so we may send you notification of your monthly statement availability. It will not be used for marketing purposes unless you select the Email Communications checkbox below.
We need this information to validate the Primary Cardmember's details.
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.
Please enter your personal annual income for the year before taxes, from all sources.
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.
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.
You will be automatically enrolled to receive your statements online, and will be sent a monthly email when your statement is ready to view.
You can view the Terms and Conditions for Paperless statements here.
This should be your business name in full, as per registered ABN business name.
To be eligible for the American Express Business Card your current business needs to be trading for 12 months or more. Please enter how many years your company has been trading.
Your business 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.
We need to verify your business address to process your application.
Please indicate the details of an external source that will confirm your business financial details. Eg Registered Accountant or Auditor. Please also enter your business financial details below.
If you already have an American Express Card please enter the Card number. We need to know this information to process your application correctly.
Please provide details of any Cards you have that are NOT American Express Cards. We will use this information as part of our application processing.
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No, I do not wish to enrol at this time.
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