AMERICAN EXPRESS CORPORATE CARD

Personal Information

Company details

Summary

Submit

Please fill in your personal information and the company details, including information about the Company Authorised Signatory. In the summary section, we ask you to review the details you have provided and to accept the Card Member T&C's. Once you have completed all mandatory fields and have submitted the form, the form will be sent to the chosen Authorised Signatory for sign off.

Card type

Liability type

Invoicing

Salutation

Title

All first names

Last name

Place of birth

Nationality

Country

Registered residential address

Postcode

City

Telephone number (work)

Cellphone number

E-mail address (work)

Date of birth

IBAN

Account holder

SEPA-Direct Debit Mandate
I hereby grant American Express Europe S.A. (Germany branch) ("American Express"), to withdraw all payments due to American Express by direct debit from the stated bank account. At the same time, I instruct my bank to honor the debit orders submitted by American Express on the stated Bank Account.
Information: I can ask for a returned direct debit during a timeframe of 8 weeks, starting on the direct debit date. Based on the agreements made with my bank.

If you wish to pay the invoice amount by bank transfer, please do not grant a direct debit mandate here and use our bank account details at www.americanexpress.de/impressum. Please only use your card number as reference for the transfer.

Password for the telephone customer service

Card number, if already American Express Card member

Please send my Corporate Gold Card to

Address above

Business address

If you want to have your Card sent to the office, please state the address below:

Address

Postcode

City

Different residential address

If you want your Card and bill to be sent to a different home address, please provide the address below. Note! This requires you to upload proof of residence bearing your name (e.g. water/electricity bill, rental agreement or bank statement, which includes your name and the provided address). The document is not allowed to be older than three months.

Address

121212Postcode

City

Please upload proof of residence (e.g. utility bill)

Upload file

Allowed format: PDF,JPG

Supporting documents

If desired by your company, you can add additional documents to your application.

Upload file

Allowed format: PDF, JPG

By clicking Next, you agree to let American Express retain your reference and contact you about the status of your application. It is important that you understand how we will use your personal information in connection with your application. For more information please read our Privacy Statement.

Mandatory

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American Express Corporate Gold Card

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