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Branch Addition Request Form.

Your request is classified as a new setup.

Please contact your American Express Representative or contact assistance.


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:

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