Tell Us About Your Card Acceptance Experience

American Express^® is committed to providing you with enhanced Card acceptance experience. Every day many new establishments join our network of millions of establishments around the world that welcome your Card.

Please let us know if there is any particular establishment where you were unable to use your Card.

Simply fill in the form below. Mandatory fields are marked with a *.

Did the establishment display any American Express signage or imply that they accept the American Express Card?*

What best describes your experience?*

Establishment Requested payment by alternate Method

Other CardCash / Cheque

Establishment requested Surcharge for using American Express Card

Establishment requested a minimum charge for using American Express Card

Establishment mentioned other payment options, but not American Express

Establishment displayed no American Express Card signage, only signs for other cards

Date (mm/dd/yyyy)*

What reason did the establishment provide
(*Please do not make enquiries about your personal American
Express account here as we cannot reply to your queries on this
form.)

Outcome*

Notes / Comments
(*Please do not make enquiries about your personal American
Express account here as wecannot reply to your queries on this
form.)

Name of Business*

Type of Business*

Business Address*

Suburb/Town*

State

Country*

Postcode

Business Contact Name

Business Phone Number

Web Site Address(If online business)

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Yes