* You must fill in these fields
Secure Application form
As a responsible credit provider, American Express® is obligated to set approval criteria. In order to qualify for the Air New Zealand American Express Platinum Credit Card, you must make sure that you:
I confirm I meet all the above requirements.
To complete this application form you will be required to provide your employment, accountant (if you are self employed) and other credit card details.
*American Express reserves the right to decline applicants who do not satisfy credit approval and income criteria.
Welcome to your application. Let's get started.
First tell us a few things about yourself.
Providing us with your full name will ensure we can address you properly in the future.
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 it 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.
All your information is protected on this secure site
Please provide the full details of your drivers licence including the details in field 5B.
Please enter either a valid home phone or mobile telephone number
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.
Your mobile phone number may help us to contact you quickly if we have any questions about your application.
Your email address may help us contact you quickly if we have any questions about your application.
Provide your physical address, not a PO Box.
If you don't know your postcode, please visit www.nzpost.co.nz/postcodefinder
Please enter your personal annual income for the year before taxes, from all sources
Please enter your monthly expenses for rent or mortgage. This must be greater than '0'
Please enter your monthly expenses for rent or mortgage. Enter '0' if not applicable
Please enter your monthly living expenses (Utility/Groceries etc.) excluding rent or mortgage. Enter '0' if not applicable
Please provide monthly repayment of your loans for personal, car or investment purposes
Providing us with details of any other credit cards you hold will help us with our credit checks and speed up your application.
We need your employment details to help us with our credit checks. Your privacy is important to us and we will not contact your employer without your written permission.
Please provide a physical address not a PO Box
We need to know your full name for our credit checks