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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.

If there is any particular establishment where you were unable to use your Card, please let us know the details.

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?*

Type of Incident*

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 of Incident (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 of the incident*

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*

City/Town*

Postcode

Country*

Business Phone Number

Web Site Address(If online business)

Your American Express Card Number
_{(This is a Secure Site and your Card details are kept private within American Express and are not provided to merchants. Please read our privacy statement for further information.)}

Enter your email address if you would like
to be notified of the outcome of your
request

Please check the box if you would like to
receive product and service offers from us
via email

Yes