ICC CONSUMER CARD USE ONLY
AMERICAN EXPRESS USE ONLY
1 COBA 071623
Priority Centurion Corporate Settlement Application Form
- in US Dollars or Euros
To be used where the applicant is the beneficial owner of an Offshore Corporate Entity (OCE)
(not including trusts and foundations) and the ‘OCE’ will be responsible for settling the Card account.
If a close associate, give names and relationship to you:
Apply for Cardmembership today
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Return the completed form to your BANK not American Express. Please complete in English
using Blue or Black ink and CAPITAL LETTERS. Please indicate which currency you would like
your billings and Card fees in by ticking the appropriate box:
US Dollar
Centurion R91
Centurion R91
Euro
Your Financial Details
If you require additional Cards in a second currency please speak to your Relationship
Manager. The annual fee for The Centurion Card is US$/€2,800.
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Personal Details
Title:
First names:
Family name:
Mr
Are you:
Mrs
Miss
Other
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Date of birth:
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Nationality:
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Passport
Drivers licence
Retired
Job title:
Time with
employer/
self employed:
Nature of
Business:
Employer’s
address:
ID Card
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Please give your permanent home address (including country and postal code)
City:
Address:
City:
Country:
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Country:
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Postal code:
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Primary tel number:
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Postal code:
Employed
Business
Tel. number:
(inc. country & area code)
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Homemaker
Other (Please specify)
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years
months
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Source of income:
Salary
Investments
Savings Other
Gross
annual income:
Providing American Express with your email address will allow us to send you by email offers which we believe are suited to
your needs, including information on new benefits, products and services. You may request not to receive these offers at any
time by updating your email preferences via the privacy statement link on the American Express website.
Student
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(inc. country & area code)
Email address (maximum of 30 characters):
Self-employed
If you are employed or self-employed please complete your business details
Business name:
Please provide a copy of proof of your identity. Select the type of document and
enter the document number:
Document
number:
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If you answered yes, we may contact you on the number you have provided to finalise
your application
(Please specify e.g. private income. )
US$
Trust fund/Inheritance
€
Please note you MUST complete either gross annual income OR assets under
management question.
Please indicate your gross annual income:
Do you have or have you previously had any other American Express card?
up to US$/€100k
-
US$/€101 to US$/€300k
US$/€301 to US$/€500k
3 7
US$/€501 to US$/€1m
US$/€1.1m to US$/€2m
Greater than US$/€2m
-
Please PRINT your name as you wish it to appear on the Card in no more than
20 letters and spaces (initials for first names are acceptable).
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Please indicate your level of assets under management with your bank listed below:
Please give your mother’s family name before marriage. This will be used as a password
to confirm your identity for security purposes and to protect against fraud.
US$/€1m - US$/€1.999m
US$/€2m - US$/€4.99m
Greater than US$/€5m
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In the last year, have you or a family member or close associate (including anyone with a
close business relationship, eg joint ownership of company, partnership, or anyone
benefiting from any company/other entity you own) held the position of:
Cash Access
Head of state, minister, deputy or assistant minister? Member of parliament? Member of
Supreme Court, of a constitutional court or other high-level judicial body? Member of court
of auditors or of the Board of the Central Bank? Ambassador, chargés d'affaire or highranking officer in the armed forces? Member of the administrative, management or
supervisory bodies of a state-owned enterprise?
Cash Access enables you to withdraw cash at over 550,000 ATMs worldwide using your
American Express Card. To apply, complete a separate Express Cash form available from
your Relationship Manager.
ng
Membership Rewards®
Please tick if ‘Yes’
If you answered yes to any of the above, please state:
Title of role:
Name of
the organisation:
Country of
the organisation:
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✓
The Centurion Card:
The Centurion Card is enrolled automatically in the American Express Membership
Rewards programme on approval of Cardmembership. You can opt out of the
Membership Rewards programme at any time. Enrolment in Membership Rewards
is free for the Centurion Card
2 COBA 071623
Personal Information
▲
Supplementary Card Applicant Details
Before signing this Application, it is important that you and any Supplementary
Applicant read this paragraph and the section entitled "Privacy" in the attached
Pre-contractual disclosure of terms and conditions for American Express
International Currency Cards, which together describe how we collect and use
information about you and any Supplementary Applicant for the purpose of
processing your application and providing you and any Supplementary Applicant
with the Card service and other appropriate products and services. By signing
this Application, you and any Supplementary Applicant agree that for the purpose
of processing it, American Express may:
(a) carry out credit checks with credit reference agencies by disclosing the
information provided by you to such agencies, who will retain records of such
checks that may be used by other organisations in assessing applications from
you and members of your household for credit or other facilities and for
preventing fraud and tracing debtors;
(b) check your details with fraud prevention agencies and if you give us false or
inaccurate information and we suspect fraud, this will be recorded, which
records may be used by us and other organisations to help make decisions
about credit and credit-related services for you and members of your
household, help make decisions on motor, household, credit, life and other
insurance proposals and insurance claims for you and members of your
household, trace debtors, recover debt, prevent fraud and manage your
Accounts or insurance policies;
(c) check your identity to prevent money laundering;
(d) use various statistical methods (including the results of any credit checks
made) to assist in evaluating your creditworthiness in deciding whether to issue
a Card to you; and
(e) contact your employer, bank, building society or any referee approved by you
to obtain relevant information to assess this Application.
Please indicate type of Supplementary Card required:
A
E
The Centurion Card
Title:
First names:
Family name:
Relationship to
Cardmember:
Date of birth:
Nationality:
Mr
B
Mrs
The Gold Card
Miss
C
Other
The Platinum Card
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Please provide a copy of proof of your identity. Select the type of document and
enter the document number:
Passport
Document
number:
Please Sign Below
Drivers licence
ID Card
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Please give your permanent home address (including country and postal code)
The information I have given in this Application is true and correct. I am [and my
Supplementary Applicant named in this Application is] over 18 years of age. I
request American Express Services Europe Limited (“American Express”) to
issue me with a Card billed in either US dollars or euros, including any renewal
and replacement Cards. The annual fee is US$/€2,800 for the Centurion Card. If I
have asked for a Supplementary Card to be issued, I agree to be jointly and
individually responsible for all charges on the Supplementary Card. A
Cardmember Agreement will accompany the Card when issued.
Address:
City:
Country:
I authorise my Bank mentioned under the heading 'Your Payment Details'
to disclose information about me to American Express and to issue
instructions on my behalf for the purpose of administering my Card
account. This includes the authorisation to my Bank to forward to
American Express all identification documents and to provide all
information necessary for American Express to comply with its obligations
under the applicable anti-money laundering legislation. I also authorise
American Express to answer any enquiries or requests made by the Bank
and to carry out the Bank's instructions for the above purpose. I discharge
American Express from all responsibility in respect of any disclosures by it
to the Bank of my information and any execution by it of the Bank's
instructions.
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Home tel number:
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Mobile tel number:
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Postal code:
(inc. country & area code)
(inc. country code)
Please PRINT your name as you wish it to appear on the Supplementary Card
in no more than 20 letters and spaces (initials for first names are acceptable).
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American Express may decline this Application at its sole discretion. By signing
below, I confirm that I have read and agree to all the terms and conditions
contained on this Application.
In the last year, have you or a family member or close associate (including anyone with a
close business relationship, eg joint ownership of company, partnership, or anyone
benefiting from any company/other entity you own) held the position of:
This Application shall be read in conjunction with the attached Pre-contractual
disclosure of terms and conditions for American Express International Currency
Cards and with all other accompanying documents.
Basic Card Applicant please sign here
The Green Card
Head of state, minister, deputy or assistant minister? Member of parliament? Member of
Supreme Court, of a constitutional court or other high-level judicial body? Member of
court of auditors or of the Board of the Central Bank? Ambassador, chargés d'affaire or
high-ranking officer in the armed forces? Member of the administrative, management or
supervisory bodies of a state-owned enterprise?
D D M M Y Y
Please tick if ‘Yes’
X
If you answered yes to any of the above, please state:
Title of role:
Name of
the organisation:
Supplementary Cardmembership
Country of
the organisation:
If you wish to share the advantages of Cardmembership with a family member, close
friend or business colleague aged 18 years or over, or take out another Card for your
own use, simply complete this section, ensuring that each Supplementary Applicant
signs in the space provided. The spending on each Supplementary American Express
Card will be itemised separately on your monthly statement.
If a close associate, give names and relationship to you:
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The Centurion Card
■
Up to 19 Supplementary Cards in Platinum, Gold or Green included
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1 Supplementary Card in black plastic included
■
1 Additional Centurion Card in black plastic included
If you answered yes, we may contact you on one of the numbers to finalise your application.
I accept joint and several liability with the Basic Cardmember for all charges incurred on the Supplementary Card issued
to me. I agree to be bound by the terms of this application and the Cardmember Agreement which will accompany the
Card when issued. By signing below, I confirm that I have read and agree to all the terms and conditions, including the
paragraphs referring to personal information contained on this application form.
You will receive an Additional Card for yourself with your account (to separate personal
and business expenditure, for instance). The Additional Card is only available for the
Centurion Basic Card Applicant.
To apply for further Supplementary Cards, please complete the separate
Supplementary Card Application form available from your Relationship Manager.
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Signature of Supplementary Card Applicant
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X
D D M M Y Y
4 COBA 071623
Offshore Corporate Entity Details
Country:
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OCE name:
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Postal code:
OCE registration number (if any).
Date of birth:
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Registered office
address:
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City:
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Country:
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Postal code:
Nationality:
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Head of state, minister, deputy or assistant minister? Member of parliament? Member of
Supreme Court, of a constitutional court or other high-level judicial body? Member of court
of auditors or of the Board of the Central Bank? Ambassador, chargés d'affaire or highranking officer in the armed forces? Member of the administrative, management or
supervisory bodies of a state-owned enterprise?
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City:
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Postal code:
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OCE Tel number:
(inc. country & area code)
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Nature of
business activity:
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Date OCE
formed:
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In the last year, have you or a family member or close associate (including anyone with a
close business relationship, eg joint ownership of company, partnership, or anyone
benefiting from any company/other entity you own) held the position of:
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Business
address:
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Please tick if ‘Yes’
If you answered yes to any of the above, please state:
Title of role:
Name of
the organisation:
Country of
the organisation:
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If a close associate, give names and relationship to you:
Number of
employees:
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If a subsidiary OCE, please state name of parent company.
Director Two
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Offshore Corporate Entity (OCE) Financial Details
First names:
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The OCE must supply details of a bank account at the Basic Applicant’s bank.
Family name:
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Please give your permanent home address (including country and postal code)
Bank name:
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Address:
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City:
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Country:
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Postal code:
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Address:
City:
Country:
I agree that the balance on my American Express Card Account will be debited each
month from the Bank Account named below. The nominated account must be in the
same currency as your Card Account.
Postal code:
Date of birth:
Name on OCE
bank account:
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OCE bank
account:
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Bank branch
code:
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Nationality:
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In the last year, have you or a family member or close associate (including anyone with a
close business relationship, eg joint ownership of company, partnership, or anyone
benefiting from any company/other entity you own) held the position of:
Please send my statements to the following address:
Directors
Head of state, minister, deputy or assistant minister? Member of parliament? Member of
Supreme Court, of a constitutional court or other high-level judicial body? Member of court
of auditors or of the Board of the Central Bank? Ambassador, chargés d'affaire or highranking officer in the armed forces? Member of the administrative, management or
supervisory bodies of a state-owned enterprise?
Please provide details of all current Directors. Should there be more than two, please attach
further details
If you answered yes to any of the above, please state:
Director One
Title of role:
Residential
First names:
Family name:
Bank
Please tick if ‘Yes’
Name of
the organisation:
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the organisation:
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If a close associate, give names and relationship to you:
Please give your permanent home address (including country and postal code)
Address:
City:
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If you answered yes, we may contact you to finalise your application.
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5 COBA 071623
Beneficial Ownership
▲
In the last year, have you or a family member or close associate (including anyone with a
close business relationship, eg joint ownership of company, partnership, or anyone
benefiting from any company/other entity you own) held the position of:
Head of state, minister, deputy or assistant minister? Member of parliament? Member
of Supreme Court, of a constitutional court or other high-level judicial body? Member of
court of auditors or of the Board of the Central Bank? Ambassador, chargés d'affaire or
high-ranking officer in the armed forces? Member of the administrative, management
or supervisory bodies of a state-owned enterprise?
I as basic applicant declare that the assets used to settle the American Express
Card Account:
belong exclusively to me as basic card applicant
belong exclusively to the supplementary card applicant
belong jointly to me and the supplementary card applicant
Please tick if ‘Yes’
belong to the OCE comprising ownership by the beneficial owners below:
If you answered yes to any of the above, please state:
Please provide details of the beneficial owners of the OCE:
Title of role:
Beneficial Owner One
Name of
the organisation:
First names:
If a close associate, give names and relationship to you:
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Family name:
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Please give your permanent home address (including country and postal code)
Address:
City:
Country:
Postal code:
Date of birth:
Nationality:
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If you answered yes, we may contact you to finalise your application.
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Beneficial Owner Three
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First names:
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Family name:
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Please give your permanent home address (including country and postal code)
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Address:
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In the last year, have you or a family member or close associate (including anyone with a
City:
close business relationship, eg joint ownership of company, partnership, or anyone
benefiting from any company/other entity you own) held the position of:
Head of state, minister, deputy or assistant minister? Member of parliament? Member
of Supreme Court, of a constitutional court or other high-level judicial body? Member of
court of auditors or of the Board of the Central Bank? Ambassador, chargés d'affaire or
high-ranking officer in the armed forces? Member of the administrative, management
or supervisory bodies of a state-owned enterprise?
Country:
Postal code:
Date of birth:
Please tick if ‘Yes’
If you answered yes to any of the above, please state:
Title of role:
Name of
the organisation:
Country of
the organisation:
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Nationality:
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In the last year, have you or a family member or close associate (including anyone with a
close business relationship, eg joint ownership of company, partnership, or anyone
benefiting from any company/other entity you own) held the position of:
Head of state, minister, deputy or assistant minister? Member of parliament? Member
of Supreme Court, of a constitutional court or other high-level judicial body? Member of
court of auditors or of the Board of the Central Bank? Ambassador, chargés d'affaire or
high-ranking officer in the armed forces? Member of the administrative, management
or supervisory bodies of a state-owned enterprise?
If a close associate, give names and relationship to you:
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Please tick if ‘Yes’
If you answered yes to any of the above, please state:
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If you answered yes, we may contact you to finalise your application.
Title of role:
Beneficial Owner Two
Name of
the organisation:
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First names:
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Country of
the organisation:
Family name:
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If a close associate, give names and relationship to you:
Please give your permanent home address (including country and postal code)
Address:
City:
Country:
Postal code:
Date of birth:
Nationality:
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If you answered yes, we may contact you to finalise your application.
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To be completed by the Applicant
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Declaration
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I confirm that all of the information provided by me is true and accurate
and I have authorisation to enter into this agreement on behalf of the OCE.
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D l D l Ml Ml Y l Y
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Basic Card Applicant please sign here
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X
D D M M Y Y
▲
5 COBA 071623
To be completed by the Bank
▲
To be completed by the Bank
Bank Contact Details
Bank Authorised Signatures (must be two)
RM name:
Bank name:
1
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RM Tel number:
(inc. country & area code)
Full name:
Position
in Bank:
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Contact
Tel number:
RM Email:
(inc. country & area code)
Verification of Applicant's Information
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Contact Email:
The Bank confirms that the ‘OCE’ and each applicant is known to it, that all the information
supplied in this form is true and accurate, that ID supplied or held on the Bank's file
pending forward transmission is a true copy of the original and that payments to the Card
account will be made from an account at the Bank in the name of the ‘OCE’ as specified in
this application*.
Bank authorised signature
D D M M Y Y
X
Bank official stamp
2
Full name:
Position
in Bank:
Contact
Tel number:
(inc. country & area code)
IMPORTANT. Have you provided:
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Contact Email:
• A copy of the Basic Applicant's proof of identity and signature (copy of
passport or identity card)
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Bank authorised signature
D D M M Y Y
• Two signatures from the bank
• A Bank Guarantee, if applicable
• If there is a Supplementary Applicant, their proof of identity
*The Bank acknowledges that American Express is placing reliance upon the
information disclosed in this application form.
Internal use only
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Bank Information Only
Please send this completed application form to:
American Express Services Europe Limited
International Consumer Card – New Accounts
Dept 76
Edward Street
Brighton
BN88 1AH
Alternatively, fax the completed application form to: +44 (0) 1273 667 135.
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AMERICAN EXPRESS INTERNATIONAL CURRENCY CARDS
AMERICAN EXPRESS® INTERNATIONAL CURRENCY CARDS PRE-CONTRACTUAL DISCLOSURE OF TERMS AND CONDITIONS – US DOLLAR, EURO AND STERLING
IMPORTANT - YOUR PERSONAL INFORMATION
Before signing this Application, it is important that you and any Supplementary Applicant read this paragraph
and the section entitled “Privacy” below, which together describe how we collect and use information about
you and any Supplementary Applicant for the purpose of processing your application and providing you and
any Supplementary Applicant with the Card service and other appropriate products and services. By signing
this Application, you and any Supplementary Applicant agree that for the purpose of processing it, American
Express may:
a carry out credit checks with credit reference agencies by disclosing the information provided by you to
such agencies, who will retain records of such checks that may be used by other organisations in assessing
applications from you and members of your household for credit or other facilities and for preventing fraud
and tracing debtors;
b check your details with fraud prevention agencies and if you give us false or inaccurate information and
we suspect fraud, this will be recorded, which records may be used by us and other organisations to help
make decisions about credit and credit-related services for you and members of your household, help make
decisions on motor, household, credit, life and other insurance proposals and insurance claims for you and
members of your household, trace debtors, recover debt, prevent fraud and manage your Accounts or
insurance policies;
c check your identity to prevent money laundering;
d use various statistical methods (including the results of any credit checks made) to assist in evaluating your
creditworthiness in deciding whether to issue a Card to you; and
e contact your employer, bank, building society or any referee approved by you to obtain relevant information to assess
this Application.
1.
Introduction
This document and the application form you have completed makes up the entire agreement for
your account with us (called your account). It replaces any previous terms provided to you for your
account. Your use of your account is governed by this agreement. You can request a further copy
of this agreement for free at any time during the term of the agreement. This agreement and all
communications between us concerning this agreement shall be in English.
Y
ou and your means the person who applied for this account;
W
e, us and our means American Express Services Europe Limited (Registered Address at Companies
House: Belgrave House, 76 Buckingham Palace Road, London SW1W 9AX, UK. Registered Number at
Companies House: 1833139) and any holding, subsidiary or affiliated companies and licensees taking
part in the American Express Card service;
C
ard means any US dollar, Euro or Sterling Card or other account access device we issue for the purpose
of accessing your account;
C
harge(s) means all transactions made using a Card or otherwise charged to your account, and includes
cash advances, travellers’ cheques, purchases, fees, commissions, taxes and all other amounts you have
agreed to pay us or are liable for under this agreement. A Supplementary Cardmember is jointly and
severally liable with you for all charges made by that Supplementary Cardmember.
using your account (or by signing and keeping the Card), you and any Supplementary Cardmembers
By
agree to the terms of this agreement.
Please read this agreement thoroughly and keep it for your reference. It is your responsibility and
you agree to ensure that any Supplementary Cardmembers are aware of these terms. Please see the
“Supplementary Cardmembers” section of this agreement for additional details.
This agreement contains a limitation of liability clause which limits our responsibility and liability. Please
refer to the “Limitation of Liability” section of this agreement for additional details.
This agreement shall be open ended.
2.
USE OF THE Card/CODE(S)
2.1
You agree that your account will be debited when you present your Card for payment to a merchant and
either you enter your code or sign for your purchase. For online, telephone or mail order purchases, you agree
to the transaction when you provide your Card number and related Card/account details and you follow the
merchant’s instructions for processing your payment. You may also be deemed to consent to a transaction in
any agreement you enter into with a merchant in which an amount is specified in such agreement and you
have authorised the merchant to debit your Card for the transaction. In your dealings with us, you may also
verbally consent or confirm your agreement to all or part of a charge after a charge has been submitted. You
or a Supplementary Cardmember cannot cancel charges once they have been authorised.
2.2
You agree that we will consider your instruction for paying a merchant to be made on the date when
you must make any payment to us in relation to a Card transaction appearing on your statement. This
does not affect the date on which the merchant is paid (which is agreed separately with the merchant),
the validity of using your Card as means of payment when you authorise the Card transaction, or the
fact that you are obliged to pay us for the transaction when you authorise it.
2.3 To prevent misuse of your account, you must ensure that you and any Supplementary Cardmembers:
2.3.1 sign the Card in ink as soon as received;
2.3.2 keep the Card secure at all times;
2.3.3 regularly check that you still have the Card in your possession;
2.3.4 do not let anyone else use the Card;
2.3.5 ensure that you retrieve the Card after making a charge; and
2.3.6
never give out your Card details, except when using the Card in accordance with this agreement.
2.4 protect your PIN (personal identification number), telephone codes, on-line passwords and any other
To
codes used on your account (called codes), you must ensure that you and any Supplementary Cardmembers:
2.4.1 memorise the code;
2.4.2 destroy our communication informing you of the code (if applicable);
2.4.3 do not write the code on the Card;
2.4.4 do not keep a record of the code with or near the Card or account details;
2.4.5 do not tell the code to anyone;
2.4.6 you select a code, do not choose a code that can easily be associated with you such as your
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name, date of birth or telephone number; and
2.4.7
Take care to prevent anyone else seeing the code when entering it into an automatic teller
machine (called ATM) or other electronic device.
3.
PERMITTED USES
You may use your account, subject to any restrictions set out in this agreement, to pay for goods and
3.1
services from merchants who accept the Card (called merchants). Here are some examples:
3.1.1
using your Card to pay for goods and services by presenting the Card to a merchant and
complying with their request to sign or enter a code; and
3.1.2
using your Card or the account to pay for goods and services ordered from a merchant by
telephone, internet or mail.
3.2 we agree, you may also use your account to obtain cash advances. For example, you may obtain cash
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advances at any ATM that accepts the Card.
3.3 permitted by the merchant, you may return to the merchant goods or services obtained using your
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account and receive a credit to your account.
3.4 you use the Card to buy insurance, you must authorise us to pay premiums for you. We will charge
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these amounts to your account. You must tell us and the insurer in writing if you want to cancel your
policy or do not renew the policy. If you are due a refund, this will be handled by us in the normal way.
4.
PROHIBITED USES
4.1 You must not:
4.1.1
give your Card or account number to others or allow them to use your Card or account for
charges, identification or any other purpose;
4.1.2 return goods or services obtained using your account for a cash refund;
4.1.3 use your Card to obtain cash from a merchant for a charge recorded as a purchase;
4.1.4
obtain a credit to your account except by way of a refund for goods or services previously
purchased on your account;
4.1.5 your account if you are bankrupt or insolvent or if you do not honestly expect to be able to
use
pay your balance on your next statement;
4.1.6 use your Card if it is found after having been reported to us as lost or stolen;
4.1.7 transfer balances from another account with us to pay your account;
4.1.8 your account if your Card has been suspended or cancelled or after the valid date shown on
use
the front of the Card;
4.1.9
use your account for an unlawful purpose, including the purchase of goods or services
prohibited by the laws of England or any other country where the Card is used or where the
goods or services are provided; or
4.1.10
use your account to purchase anything from a merchant that you or any Supplementary
Cardmember or any third party related to you have any ownership interest in, excluding shares
quoted on a recognised stock exchange.
4.2 is your responsibility to ensure that there is no prohibited use of your account by you and any
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Supplementary Cardmembers. You will be responsible for any prohibited use of your account even if we
did not prevent or stop the prohibited use.
5.
STATEMENTS
5.1 will send or make available to you statements of account (called statements) periodically and at
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least once a month if there has been any account activity. In any event we will send or make available
to you a statement at least once every 12 months. Each statement will show important information
about your account, such as the outstanding balance on the last day of the statement period (called the
closing balance), the payment due, the payment due date, the currency conversion rate and applicable
fees and will include charges made by you and any Supplementary Cardmembers. We reserve the right
to make some account data available to you on request once a month, and in such case, we will notify
you in your statement.
5.2
Always check each statement for accuracy and contact us as soon as possible if you need more
information about a charge on any statement. If you have a question about or a concern with your
statement or any charge on it, inform us immediately. We will expect this to be within 1 month
of receipt of your statement and if you do not query a charge that you believe is unauthorised or
inaccurate within this period, or up to 13 months in exceptional circumstances, you will be liable for the
unauthorised charge. If we request, you agree to promptly provide us with written confirmation of your
question or concern and any information we may require that relates to your question or concern.
5.3 f you are enrolled in online statements you agree that we may stop sending paper statements. You agree that any
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specific terms about online statements that we provide to you will apply and form part of this agreement.
5.4
You agree we may send you notices, including notices of variation of this agreement with your
statement (whether online or paper copy).
6.
FEES
6.1 fees and commissions that apply to your account are set out below. You agree to pay these fees and
The
commissions and you authorise us to charge them to your account when due.
TYPES OF FEES
FEE: US DOLLAR Cards FEE: EURO Cards
(US$)
(€)
FEE: STERLING Cards
(£)
A maximum Card Membership
Annual Fee is payable
annually beginning on the
first statement after the
Card is issued and then
at the beginning of each
membership year.
A membership year starts
on the anniversary of Card
membership and ends
on the day before the
next anniversary of Card
membership, (called Card
anniversary date). Cash
advances and fees and
commissions are not included
in the calculation
of purchases.
For:
The American Express
Green Card, US$100;
The American Express
Gold Card, US$300;
The Platinum Card,
US$550;
The Centurion Card,
US$2,800
The Green Business Card,
US$100;
The Gold Business Card,
US$300
For:
The American Express
Green Card, €100;
The American Express
Gold Card, €300;
The Platinum Card,
€550;
The Centurion Card,
€2,800
The Green Business Card,
€100;
The Gold Business Card,
€300
For:
The American Express
Green Card, £60;
The American Express
Gold Card, £95;
The Platinum Card,
£300;
The Centurion Card,
£1,800;
The Green Business
Card, £50;
The Gold Business Card,
£95.
A Supplementary Card
Annual Fee is payable
annually at the beginning
of each membership year
for each Supplementary
Card we issue at your
request beyond those
offered as part of your Card
membership annual fee.
For: The American Express
Green Card, US$50;
The American Express Gold
Card, US$100;
The Platinum Card, US$275;
The Centurion Card, US$1,400
The Green Business Card,
US$50;
The Gold Business Card,
US$100
For: The American Express
Green Card, €50;
The American Express Gold
Card, €100;
The Platinum Card, €275;
The Centurion Card, €1,400
The Green Business Card, €50;
The Gold Business Card, €100
For: The American Express
Green Card, £17.50;
The American Express
Gold Card, £35;
The Platinum Card, £170;
The Centurion Card, £650;
The Green Business
Card, £35;
The Gold Business Card, £35.
A Late Payment Fee is
payable in the event that
you delay or omit the
payment of any charges
due in respect of your
account.
(i) 3% or US$25 (whichever is
higher) on all amounts you
still owe after 30 days from
your statement date; and
(ii) 1.5% or US$15 (whichever
is higher) to be charged on all
amounts you still owe after
45 days from your statement
date; and
(iii) 1.5% or US$15 (whichever
is higher) to be charged each
month on all amounts you
still owe after 60 days from
your statement date
i) 3% or €25 (whichever is
higher) on all amounts you
still owe after 30 days from
your statement date; and
(ii) 1.5% or €15 (whichever is
higher) to be charged on all
amounts you still owe after
45 days from your statement
date; and
(iii) 1.5% or €15 (whichever
is higher) to be charged each
month on all amounts you
still owe after 60 days from
your statement date.
(i) £12 in respect of all
amounts you still owe after
30 days from the account
statement date; and
(ii) £12 to be charged in
respect of all amounts you
still owe after 45 days from
the account statement
date; and
(iii) £12 to be charged each
month in respect of all
amounts you still owe after
60 days from the account
statement date;
A Return Payment Fee is
payable if you pay us with a
cheque or direct debit and
your bank does not honour
the cheque or the direct
debit, we will charge you to
cover costs we incur.
US$25
€25
£12
A Statement Copy Fee
is payable if you request
copies of statements, for
each copy provided, or if
you have elected electronic
statements, you request any
paper statement copies.
US$4
€3
£2
A Cash Advance Fee of the
amount of any cash you
request is payable. A fee
may also be charged by the
provider of any ATM you use
in obtaining cash.
US$4 or 4% (whichever is
the greater)
€4 or 4% (whichever is the
greater)
£3 or 3% (whichever is the
greater)
A Rewards Fee is payable
in advance on enrollment
and then annually for
participation in the
Membership Rewards®
programme. Please refer to
the separate Membership
Rewards agreement for full
details of your programme.
US$35.25
€35.25
£23
A Cheque Handling Fee is
payable if you pay us with
a cheque drawn on a bank
account outside: (i) the USA,
UK or Switzerland or which
are not in US Dollars for US
Dollar Card; or (ii) the UK or
Switzerland or countries in
which the Euro is not the
official currency, or which
are not denominated in € for
Euro Cards.
US$25
€25
Not Applicable
An annual Government Stamp
Duty Fee is payable only in the
Republic of Ireland.
Not Applicable
€30
Not Applicable
6.2 you make a charge in a currency other than Pounds Sterling, we will apply a currency conversion rate
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to the charge, increased by 3.0% for US Dollar Cards, 2.7% for Euro Cards or 2.99% for Sterling Cards or as
otherwise disclosed by us. Please see the “Charges Made in Foreign Currencies” section of this agreement.
6.3 we refer your account to a collection agency (which may be a firm of solicitors), we will also charge you for
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any costs that we have to pay in recovering any amount you owe us and any costs that the agency incurs in
trying to recover any outstanding amount on our behalf. We will continue to add late payment charges, to
the amount you owe, until you have paid the amount you owe. You must pay late payment charges after, as
well as before any judgement, if the case is taken to court.
7.
RIGHT TO CHANGE FEES AND COMMISSIONS
7.1 reserve the right to change the circumstances in which any of the fees or commissions on your
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account are charged and the amount of those fees or commissions. We will provide notice of any
change in accordance with the “Changes” section of this agreement.
7.2
You agree that we may impose additional fees and commissions at any time by giving you notice as set
out in the “Changes” section of this agreement.
8.
LIABILITY
8.1
You are liable and promise to pay to us when due all amounts outstanding on your account which
includes paying:
8.1.1
charges on all Cards issued to you and to any Supplementary Cardmembers and even after
Cards have been cancelled and this agreement has been ended;
8.1.2
charges made by any other person if you or any Supplementary Cardmember allowed them to
use your account;
8.1.3
charges made in breach of this agreement or fraudulently by you or permitted by you or any
Supplementary Cardmember; and
8.1.4
unauthorised charges related to a lost or stolen Card or code being used by an unauthorised person
under the circumstances and within the limits set out in the “Lost/Stolen Cards, Incorrectly Executed
Transactions and Misuse of Your Account” section of this agreement.
Any Supplementary Cardmember is jointly and severally liable with you to pay to us when due all
8.2
charges on this account made by that Supplementary Cardmember.
9.
CHARGE APPROVAL
9.1
Unless we inform you of a pre-set spending limit, each charge is approved based on the expense level
and credit history of all of your accounts established with us, our subsidiaries and affiliates and/or
licensees, as well as on your credit history with other financial institutions and your personal resources
and income known by us.
9.2 may at our discretion decide and inform you of a temporary spending limit applicable to your
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account which is the maximum amount which can be outstanding at any time on your account
(including use by any Supplementary Cardmembers). You agree to manage your account so that charges
billed to your account do not exceed the spending limit. .
10. Card IS OUR PROPERTY
Although you and any Supplementary Cardmember use Cards on your account, all Cards remain our
property at all times. You may be asked to return the Card to us or anyone we ask to take it on our
behalf, including merchants. We may also inform merchants that your Card is no longer valid.
11. PAYMENTS (see table opposite)
11.1
Payments are due and payable to us immediately upon request, or receipt by you of our statement. You
will be deemed to have received each statement on the 7th day following dispatch by us or upon its
actual receipt, whichever is the earlier.
11.2
Payments may be made by any of the methods set out in the table opposite and in accordance with any
additional instructions and requirements regarding your payments as set out in your statement or that
we inform you.
11.3 US Dollar Cards
11.3.1 You must pay us in US Dollars.
11.3.2 you pay in any currency other than US Dollars, we may refuse to accept it. If we do accept
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payment in another currency, we will change it into US Dollars at the standard rate we set on
the date we receive the payment. In this case, or if you pay using a cheque drawn on a bank
account outside the UK, there may be a delay before the amount is credited to your account.
11.4 Euro Cards
11.4.1 You must pay us in Euros.
11.4.2 you pay in any currency other than Euros, we may refuse to accept it. If we do accept payment
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in another currency, we will change it into Euros at the standard rate we set on the date we
receive the payment. In this case, or if you pay using a cheque drawn on a bank account outside
the UK, there may be a delay before the amount is credited to your account.
11.5 Sterling Cards
11.5.1 You must pay us in Pounds Sterling.
11.5.2 you pay in any currency other than Pounds Sterling, we may refuse to accept it. If we do accept
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payment in another currency, we will change it into Pounds Sterling at the standard rate we set
on the date we receive the payment. In this case, or if you pay using a cheque drawn on a bank
account outside the UK, there may be a delay before the amount is credited to your account.
Payments will be credited to your account when received, cleared and processed. Any time periods that
11.6
we may provide are estimates only and are dependant on the payment system and service provider you
choose to make payment. Please make sure that you allow sufficient time for us to receive, clear and
process payments by the payment due date even if the payment due date falls on a weekend or public
holiday. This includes mailing time for payments sent by mail and processing time for payments made
using payment services offered by participating financial institutions which you should check with the
financial institution.
We
11.7 are not responsible for any delays in receiving and processing payments and you must pay any
charges which may apply.
If
11.8 you choose to pay by direct debit, you agree that any specific terms that we provide to you at
enrolment will apply and form part of this agreement.
11.9
Third parties involved in the sending or processing of payments such as postal authorities or financial institutions
are not our agents and their receipt of a payment will not be considered a payment received by us.
11.10 may, but are not obligated to, provide an additional grace period following the payment due date.
We
12. ALLOCATION OF YOUR PAYMENTS
12.1 We will normally apply payments to your account in the following order:
12.1.1
applicable delinquency charges, cash advances withdrawals, linked credit account minimum
dues, if any, purchases, in that order,
12.1.2 annual Cardmembership fees,
12.1.3
other fees charged by us that appear as a separate item on your monthly statement, for
example, statement reprint fees, annual Cardmembership fee and;
12.1.4 charges, other than those above, service fees, that have appeared on a monthly statement.
12.2 servicing, administrative, systems or other business reasons, we may apply payments to your account
For
in some other order or manner that we may determine in our discretion. You agree that we may do so in
a way that is favourable or convenient to us.
13. CHARGES MADE IN FOREIGN CURRENCIES
13.1 US Dollar Cards
you make a charge in a currency other than US Dollars that charge will be converted into US Dollars.
If
The conversion will take place on the date the charge is processed by us, which may not be the same
date on which you made your charge as it depends on when the charge was submitted to us.
13.2 Euro Cards
you make a charge in a currency other than Euro, that charge will be converted into Euro. The
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conversion will take place on the date the charge is processed by us, which may not be on the same
date which you made your charge as it depends on when the charge was submitted to us. If the charge
is not in U.S. Dollars, the conversion will be made through U.S. Dollars, by converting the U.S. Dollar
amount into Euro. If the charge is in U.S. Dollars, it will be converted directly into Euro.
13.3 Sterling Cards
you make a charge in a currency other than Pounds Sterling that charge will be converted into Pounds
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Sterling. The conversion will take place on the date the charge is processed by us, which may not be
the same date on which you made your charge as it depends on when the charge was submitted to us.
If the charge is not in U.S. dollars, the conversion will be made through U.S. dollars, by converting the
charge amount into U.S. dollars and then by converting the U.S. dollar amount into Pounds Sterling. If
the charge is in U.S. dollars, it will be converted directly into Pounds Sterling.
13.4 US Dollar, Euro & Sterling Cards
13.4.1
Unless a specific rate is required by applicable law, you understand and agree that the American
Express treasury system will use conversion rates based on interbank rates that it selects from
customary industry sources on the business day prior to the processing date (called reference
exchange rate), increased once by 3.00% for US Dollar Cards, 2.7% for Euro Cards and 2.99% for
Sterling Cards or as otherwise disclosed by us. If charges are converted by third parties prior
to being submitted to us, any conversions made by those third parties will be at rates and may
include a commission selected by them.
Payment Methods
Payment
Method
Dollar Card
Euro Card
Sterling Card
Payment will
be credited
to the
account:
Payment will
be collected
approximately 14
days after your
statement date.
Ensure sufficient
funds are in
your financial
institution
account on
the payment
collection date.
Direct Debit
(If Applicable)
Estimated Time
Frames (which
includes time
for your bank to
pay us)
When
payment is
received and
processed
by us.
Bank Transfer
Account Name:
American Express
Services Europe
Limited
Bank A/C
Number:
3582022339001
Swift No:
SCBLUS33
Beneficiary
Bank: Standard
Chartered Bank
One Madison
Avenue New York
NY 10010
Reserve Bank
ABA Code:
026002561
Federal CHIPS
Participant Code:
0256
Payment
Reference: Please
state your Card
number starting
3745
Account Name:
American Express Services
Europe Limited
Bank A/C Number:
180 992 05
IBAN Number
(International
Bank Acct No.):
DE28512305000018099205
Swift Number: SCBLDEFX
Beneficiary Bank: Standard
Chartered Bank Germany
Franklinstrasse 46-48
60486 Frankfurt, Germany
Payment Reference: Please
state your Card number
starting 3743
Not Applicable
Allow 3-5 working
days for payment
to be received on
your account.
When
payment is
received and
processed
by us.
Cheque
Send us a US
Dollar Cheque
with a remittance
advice slip to:
American Express
Services
Royal Avenue
Widnes, United
Kingdom,
WA88 1AH
Send us a Euro Cheque with
a remittance advice slip to:
American Express Services
Royal Avenue,
Widnes
United Kingdom,
WA88 1AH
Send us a sterling
Cheque with
a remittance
advice slip to:
American Express
Services
Royal Avenue
Widnes,
United Kingdom,
WA88 1AH
Please include
the bank account
number and
account number
on the front of
the cheque.
Allow 3-5 working
days from receipt
of cheque for
payment to be
received on your
account.
When
payment is
received and
processed
by us.
Please include
the bank account
number and
account number
on the front of
the cheque.
Please include the bank
account number and
account number on the
front of the cheque.
By Hand
Hand deliver your cheque to
your American Express Travel
Agency location.
Hand deliver
your cheque
to your
American
Express Travel
Agency location.
Allow up to 14
days for payment
to be received on
your account.
When
payment is
received and
processed
by us.
By Bank
Arrangement
You can arrange
for your bank
to settle your
account by
completing
our bank
arrangement
form.
You can arrange for your
bank to settle your account
by completing our bank
arrangement form.
You can arrange
for your bank
to settle your
account by
completing
our bank
arrangement
form.
Allow 3-5 working
days for payment
to be received on
your account
When
payment is
received and
processed
by us.
Online
Hand deliver your
cheque to your
American Express
Travel Agency
location.
Not Applicable
Not Applicable
Pay online
at www.
americanexpress.
co.uk using your
debit card.
Allow 2 working
days for payment
to be received on
your account
When
payment is
received and
processed
by us.
13.4.2 reference exchange rate is set daily. You agree that any changes in the reference exchange rate will
The
be applied immediately and without notice to you. Please note that the rate charged is not necessarily
the rate available on the date of your transaction as the rate applicable is determined by the date
on which the merchant submits a charge which may not be the date on which you authorise the
transaction. Fluctuations can be significant. The reference exchange rate may be found on our website
(www.americanexpress.co.uk) or you may contact us by telephone or email to obtain the rate.
14. Supplementary CardMEMBERS
14.1 your request, we may issue a Card on your account to another person (called a Supplementary
At
Cardmember). We may limit the number of Supplementary Cards issued on one account.
14.2 generally do not provide copies of agreements, statements, notices and other communications to a
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Supplementary Cardmember.
14.3
Please see the “Liability” section of this agreement regarding the liability of a Supplementary
Cardmember for charges made by that Supplementary Cardmember.
14.4
You agree and are responsible to ensure that each Supplementary Cardmember reads, understands and
complies with this agreement and any notices and other communications that we may send to you.
14.5 cancel a Supplementary Card, please see the “Default/Closing Your Account” section of this agreement.
To
15. CASH ADVANCES
15.1 If we permit you to obtain cash advances with your Card, then:
15.1.1 you must enrol and obtain a code to access ATMs that accept the Card;
15.1.2 may impose limits and restrictions on cash advances such as the minimum and maximum
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limits that apply to cash advances for each transaction, day, statement period or otherwise;
15.1.3
participating financial institutions and ATM operators may also impose their own limits and
restrictions on cash advances such as limits on the number of cash advances, the amount of
each cash advance and access to and available services at ATMs;
15.1.4 reserve the right, without cause and without providing any notice to you, to terminate your
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access to ATMs, even if your account is not in default;
15.1.5
fees apply as set out in the “Fees” section of this agreement and the ATM provider may also
charge a fee; and
15.1.6 you must comply with any additional terms and conditions that we provide to you.
16. RECURRING CHARGES
16.1
You or a Supplementary Cardmember may authorise a merchant to bill your account at regular intervals
for goods or services (called recurring charges).
16.2 replacement or new Card (called a replacement Card) may be issued to you if your Card is lost, stolen,
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damaged, cancelled, renewed or switched to a different Card type. Your Card may also be cancelled or
no further charges permitted without a replacement Card being issued (called a cancelled Card).
16.3 order to avoid potential disruption of recurring charges and the provision of goods or services by the
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merchant in the case of a replacement Card or cancelled Card, it is always your responsibility to contact
the merchant and provide replacement Card information or make alternate payment arrangements.
16.4 and any Supplementary Cardmembers (for their own charges) agree to be responsible for any recurring
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charges that may continue to be charged to your account from a Card that has been replaced or cancelled.
Recurring charges may be automatically charged to a replacement Card without notice to you.
16.5
Please note that we do not provide replacement Card information (such as Card number and Card
expiry date) to the merchant.
16.6 stop recurring charges being billed to your account, you must have the right to do so by law or under
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your arrangement with the merchant and you must advise the merchant in writing or in another way
permitted by the merchant, to stop billing charges to your account.
16.7 we permit, you or a Supplementary Cardmember may authorise us or our agent to enrol you with a
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merchant for recurring charges. You will remain responsible to make other payment arrangements until
the recurring charges begin to be applied to your account. We are not responsible for any failure to
enrol your account for recurring charges or if the merchant fails to charge your account. The paragraph
above which deals with stopping recurring charges also applies if you or a Supplementary Cardmember
uses our enrolment services.
17. AUTHORISATION
17.1 We may require charges to be authorised by us before they are accepted by a merchant.
17.2
Even though your account may not be in default, we may refuse any request for authorisation of a
charge, for example, due to technical difficulties, fraud, your inability to pay your account in full and on
time and/or other related reasons. Where possible, we may provide you at your request, our reasons for
any refusal for authorisation. You may contact us on + 44 (0) 1273 868 900.
18. REPLACEMENT CardS
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ou authorise us to send you and any Supplementary Cardmembers a replacement Card before the
current Card expires. You must destroy any expired Cards by cutting them up. For Cards made of
titanium, please contact Centurion Services on + 44 (0) 1273 576 453. This agreement as amended or
replaced continues to apply to any replacement Cards we issue.
19. USE OF PERSONAL INFORMATION
19.1 will disclose information about you, your application for the Card, your account and charges on it (which
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may include details of goods and/or services purchased) to companies within the American Express group of
companies worldwide (including other organisations who issue the Card), to companies who distribute the
Card, to any other party whose name or logo appears on the Card issued to you, to any party authorised by you,
to our processors and suppliers and to organisations who accept the Card in payment for goods and/or services
purchased by you and obtain such information from those parties and we will also use such information in order
to administer and service your account, process and collect charges on it, manage any benefits or insurance
programmes in which you are enrolled and reconcile payments due by us to the above companies, processors,
suppliers and organisations arising as a result of the issue of the Card to you and/or its use by you. Where you
purchase goods and/or services on behalf of a third party, you confirm that you have obtained consent of that
third party to the disclosure of his or her information to American Express for these purposes.
19.2
We, other companies within the American Express group of companies worldwide (including other
organisations who issue the Card), companies who distribute the Card and other companies specifically
selected by us will have access to and will use information about you, and how you use your account
to develop lists for use within the American Express group of companies worldwide (including other
organisations who issue the Card) and other select companies in order that we or these companies
may develop or (unless you ask us not to) make offers to you (by mail, email, telephone, via the internet,
or by SMS) of products and services in which you may be interested. The information used to develop
these lists may be obtained from the Application form process, from information on where you use and
what charges are on your Card, from surveys and research (which may involve contacting you by mail,
email, telephone, via the internet, or by SMS) and from information obtained from external sources
such as merchants or marketing organisations, to the greatest extent permitted by law.
We
19.3 will exchange information about you and your account with credit reference agencies. If you owe
us money and do not repay in full or on time, we may tell credit reference agencies who will record the
outstanding debt. This information may be shared with other organisations in assessing applications
from you and applications from any other party with a financial association with you for credit or other
facilities and for preventing fraud and tracing debtors.
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19.4 will carry out credit checks whilst any money is owed by you on your account (including contacting
your bank, building society or any referee approved by you) and disclose information about you and
your account to collection agencies and lawyers for the purpose of collecting debts on your account.
19.5 will carry out further credit checks, including at credit reference agencies, and analyse information
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about you and charges on your account to assist in managing your account, authorise charges on it and
to prevent fraud or any other unlawful activity. These credit reference agency searches will not be seen
or used by other organisations to assess your ability to obtain credit.
19.6 will check your details with fraud prevention agencies. If false or inaccurate information is provided
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and we suspect any unlawful activity such as fraud or fraud is identified, this will be recorded, and
we may pass details to fraud prevention agencies. Law enforcement agencies may access and use this
information. We and other organisations may also access and use this information to prevent fraud and
money laundering, for example, when:
19.6.1
Checking details on applications for insurance, credit and credit related or other facilities;
Managing credit, credit related accounts or facilities, and insurance policies;
19.6.2 Recovering debt;
19.6.3 Checking details on applications, proposals and claims for all types of insurance; or
19.6.4 Checking details of job applicants and employees
and other organisations may access and use from other countries the information recorded by fraud
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prevention agencies.
Please contact us at ICC New Membership, Department Number 4060, American Express Services
Europe Ltd, Telecom House, 125-135 Preston Road, BRIGHTON, BN88 1TH, UK if you want to receive
details of the relevant UK fraud prevention and credit reference agencies.
19.7 you contact us by any electronic means, we may record any electronic identifier, including telephone
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numbers or internet protocol address, supplied at the time.
19.8 have the legal right of access to your personal records held by credit and fraud prevention agencies.
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We will supply the names and addresses of the agencies we have used upon request to ICC New
Membership, Department Number 4060, American Express Services Europe Ltd, Telecom House, 125135 Preston Road, BRIGHTON, BN88 1TH, UK.
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19.9 will monitor and/or record your telephone calls to us, or ours to you, either ourselves or by reputable
organisations selected by us, to ensure consistent servicing levels (including staff training) and account
operation, and to assist, where appropriate, in dispute resolution.
19.10 e will link and/or consolidate with other companies within the American Express group of companies
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worldwide, information about you and your account with information about other products and services
you maintain with the Group in order to manage, maintain and develop the Group’s overall relationship
with you, and to help the Group identify products and services in which you may be interested.
19.11 will undertake all of the above within and outside the UK and the European Union. This includes
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processing your information in the USA in which data protection laws are not as comprehensive as in
the European Union. When you travel or make foreign purchases by mail, email, telephone, or via the
internet, American Express will also disclose to or access your information in other countries outside
the European Union in which data protection laws may not be as comprehensive as in the European
Union. In this case, American Express has taken appropriate steps to ensure the same level of protec