0235 BTA INS-Application-TCs - American Express Corporate-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out Section 1, which requires company information. Enter the company's name, American Express account number, address, department, postal code, and city. Ensure all fields are completed accurately.
3. Proceed to Section 2 for personal details. Input your name as you wish it to appear on the card (maximum of 20 characters), along with your first name, last name, address, CPR number, postal code, city, private and work phone numbers, employee number, and email address.
4. In Section 3, confirm that you have read and understood the membership terms on page 2. Check the box indicating your acceptance of these terms and provide your signature and date at the bottom of this section.
5. Finally, ensure that any additional required signatures from authorized signatories are included before submitting the form.

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