Start of menu
Close Menu

Branch Addition Request Form.

Your request is classified as a new setup.

Please contact your American Express Representative or contact assistance.

Email: new.merchants@aexp.com

or call:

(AUS)  1300 363 614 (option 5, Sub Option 2)

(NZ)     0800 800 855 (option 5, Sub Option 2)

Existing Merchant Details:

New Branch Details:

Bank Details:
(This is your bank account you wish American Express to pay into.)

Terminal Information:

An American Express Service Representative will be in contact to obtain your terminal details.

Contact Details:

You'll hear from us

Please provide your name and e-mail address so we can send you a follow up communication about the status of your enquiry (optional).
For information about how we protect your privacy please read our Privacy Statement.

(You have 500 characters left.)

Message from webpage.

Your session will expire soon and you will lose your entries. If you need more time, please click OK.