* You must fill in these fields
Secure Application form
Welcome to your application. Let's get started.
First tell us a few things about yourself.
The front of your American Express Card has room for up to 20 characters. You can select how you want your name to appear on it by clicking on the drop down box. Your surname must appear on the Card. If you have a long name, you may need to use just an initial and your surname.
Thank you for applying for the Low Rate Credit Card from American Express®. As a responsible Credit provider, American Express is obligated to set approval criteria. Before you begin, please confirm the following:
I confirm I meet all the above requirements.
*American Express reserves the right to decline applicants who do not satisfy credit approval and income criteria.
All your information is protected on this secure site
Please provide the full details of your drivers licence including the details in field 5B.
Please enter either a valid home phone or mobile telephone number
Your home telephone number is required as part of our standard credit checks. Having it will help us to process your application as quickly as possible.
Your mobile phone number may help us to contact you quickly if we have any questions about your application.
Your email address may help us contact you quickly if we have any questions about your application.
Provide your physical address, not a PO Box.
If you don't know your postcode, please visit www.nzpost.co.nz/postcodefinder
Please enter your personal annual income before tax.
Please tell us about any other income (including rental & investment income). Enter '0' if not applicable.
Please enter your partner/spouse's annual income before tax. Enter '0' if not applicable.
Please enter your monthly expenses for rent or mortgage. This must be greater than '0'
Please enter your monthly Household expenses for rent or mortgage. This must be greater than '0'
Please enter your monthly expenses for rent or mortgage. Enter '0' if not applicable
Please enter your monthly Household expenses for rent or mortgage. Enter '0' if not applicable
Please enter your monthly expenses excluding rent or mortgage. Enter '0' if not applicable
Please enter your monthly Household expenses excluding rent or mortgage. Enter '0' if not applicable
Please provide monthly repayment of your loans for personal, car or investment purposes
Providing us with details of any other credit cards you hold will help us with our credit checks and speed up your application.
Please enter the amount rounded to the nearest dollar, with no spaces, commas or decimal places.
American Express will assign you the maximum Credit Limit based on your application information
Please note: When selecting a credit limit you agree that the maximum credit limit you may be
approved for may be less than the amount you have selected, based on your application details
We need your employment details to help us with our credit checks. Your privacy is important to us and we will not contact your employer without your written permission.
Please provide a physical address not a PO Box
For added flexibility, you can order a Supplementary Card for a partner or family member, or friend over 18 years of age. You will be responsible for paying for the charges on the Card. you can view the charges made on the extra Card both online and on your paper statements. The extra Card Member can view their charges online but they will not be able to view your charges or other account activity.
We need to know your full name for our credit checks