American Express Corporate Application Form PDF Details

Navigating the American Express Corporate Card application process requires careful attention to detail and an understanding of the necessary steps to ensure a successful submission. At the heart of this process is the American Express Corporate Card Application form, a document designed to collect vital information from businesses seeking to equip their employees with a corporate credit card. This form covers several critical sections, including personal information, contact details, and the requisite company information. Each section contains fields marked as required, such as the employee's name, billing and home addresses, social security number, contact numbers, and email. Furthermore, the form requires information about the company, including the authorizing signature and basic control number, signifying the company's request for a card and agreement to the terms. Notably, all applications must be signed by an individual authorized to act on behalf of the company, echoing the seriousness and the responsibility that comes with handling a corporate credit account. Additionally, the form outlines the importance of reading and accepting the enclosed agreement, emphasizing the card's intended use for business or commercial purposes only. The detailed instructions for submitting the form—either by mail or fax—underscore the meticulous process of applying for an American Express Corporate Card, aimed at driving savings, benefiting employees, and enabling global management and maximized control over corporate expenses.

QuestionAnswer
Form NameAmerican Express Corporate Application Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesamerican express paycheck protection, paycheck protection program, american express card coporate application, american express corporate application form

Form Preview Example

Employee’s Signature

Employee:

*Required fields must be completed or application cannot be processed.

Please complete and send to Program Administrator listed on application.

Program Administrator:

*Required fields must be completed or application cannot be processed.

Please complete and send to: American Express P.O. Box 53816 Phoenix, AZ 85072

Or

Fax to:

623-492-3884

American Express® Corporate Card Application

Application Information - Application cannot be processed without required information

Name as you would like it to appear on the Corporate Card (20 characters maximum, including spaces - *Required)

Billing Street Address *Required (20 characters maximum, including spaces)

 

Home

Office

 

 

 

City (17 characters maximum, including spaces)

State

Zip Code

 

 

 

 

Home Street Address *Required (if different than billing address)

 

 

 

 

 

 

City (17 characters maximum, including spaces)

State

Zip Code

 

 

 

 

E-mail Address (**Required)

 

 

 

 

 

Social Security Number (*Required)

Home/Personal Phone Number(*Required)

-

-

-

 

-

 

 

 

Business Phone Number (*Required)

 

Fax Number (*Optional)

-

-

-

 

-

 

 

Employee ID Number (10 characters maximum)

Cost Center Number (10 characters max.)

Universal Number (25 characters maximum)

Please read the Agreement before signing.(*Required)

By signing above I indicate my acceptance of the terms and conditions of the Agreement.

X

Date

Program Administrator - Application cannot be processed without required information

Basic Control Number (*Required - please fill out or application cannot be processed)

Company Name (20 characters only, including spaces)

Authorizing Signature* Please read the Agreement before signing.

I am authorized to complete this enrollment authorization on behalf of the company

X

 

 

Date

PRINT Authorizer’s Name

Title

 

 

 

 

 

Phone Number

 

 

Fax Number

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-

-

-

 

 

PRINT Program Administrator Name * May be previously filled out by PA

PA Phone Number

 

 

-

-

 

 

 

 

* All applications require a signature (name & title) of an authorized Company Representative or Program Administrator.

AGREEMENT:

Company and the Applicant (a) request that a Corporate Card be issued to the Applicant on the Companys account, (b) authorize the receipt and exchange of credit information on the Company and the Applicant, (c) agree to be bound by the Agreement sent with the Card and by the agreements covering Corporate Card related programs in which the Applicant is enrolled, and (d) agree that the Corporate Card will be used for business or commercial purposes only. The Applicant (a) authorizes American Express to notify the Company if this application is declined or if spending restrictions are applied to the Corporate Card, and (b) agrees to be liable for payment to American Express of all amounts charged to the Corporate Card.

**We may notify you about important account updates and services that may be suited to your needs. We will never share your email address. For information about how we protect our privacy, please visit americanexpress.com/privacy

Rev 12/2009

DRIVE SAVINGS | BENEFIT EMPLOYEES | MANAGE GLOBALLY | MAXIMIZE CONTROL | DRIVE SAVINGS | BENEFIT EMPLOYEES | MANAGE GLOBALLY | REAL BUSINESS. REAL SOLUTIONS.SM

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