Form

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Apply for The American Express® Platinum Card

*Minimum Annual Income 1.2 Million Baht
*Annual Fee : 40,000 Baht (VAT included)

Please complete the details below

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First name *

Last name *

Mobile number *

E-mail address *

Monthly Income *

Please select...75,000 – 100,000 Baht100,001 Baht and above

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