American Express� Preferred Rewards Gold Card Application Page

No Annual Fee for your First Year¹

Double points on gas and groceries for your first year (valid on up to $1,000 of eligible gas/grocery spend each month; 1 point per eligible dollar after the first year)²
Earn 10,000 Membership Rewards® bonus points when you spend $500 in 3 months of Card membership- redeemable for a $100 gift card.³
The Membership Rewards^® program -- a fast, flexible rewards program that lets you redeem travel rewards on over 21 airlines.⁴
Gold Card Events exclusive access to tickets for select concerts, shows, major sporting events, and more in cities nationwide.⁵
Purchase Protection⁶ and many more benefits included.
Global Assist^® Hotline.⁷
No Pre-set Spending Limit.⁸

See Terms, Conditions and Disclosures for important information.

Learn More

CARD FEATURES

Be a part of our award-winning Membership Rewards^® program^I

Automatically turns your purchases into points you can redeem for your choice of truly exceptional travel, shopping, and entertainment rewards.
Earn 1 Membership Rewards^® point for virtually every dollar you spend.
Redeem points for rewards from 21 airlines partners, hundreds of hotels worldwide, vacation packages, over 50 cruise itineraries, and spa retreats.
Transfer points into 17 frequent flyer programs -- 1 point for 1 airline mile with most programs.^II
Redeem points for rewards from over 50 of the finest names in shopping and entertainment.
Points have no expiration date and there is no limit to the number of points you can earn.

Gold Card Events

Get your hands on the most sought-after tickets in major cities across the U.S., from concerts and shows to major league sports -- often in advance of public sale.^III

CARD TERMS AND FEES

Annual Fees

Basic Card

No Annual Fee for the first year, then $125

Additional Cards

No Annual Fee for the first year, then $35 for up to five Additional Cards and $35 for each Additional Card after the first five.

Credit Limit

No pre-set spending limit - purchases are approved based on a variety of factors, including account history, credit record, and personal resources.^V

Payment Options

Due in full each month.

TRAVEL AND BUYER PROTECTION SERVICES

When you shop

Fraud Protection Guarantee: Covers you against unauthorized or fraudulent charges.
Return Protection^V: Guarantees your satisfaction on designated items within 90 days from the date of purchase.
Extended Warranty^VI: Mirrors manufacturers' warranties for covered products purchased with your Card account, for up to one additional year.
Purchase Protection^VII: Protects covered items for up to 90 days from the date of purchase if it is stolen or accidentally damaged.
Save with American Express Selects^SM: Offers, savings, entertainment, and special events all in one great place.

When you travel

American Express Travel Service: When you use the Card to book your getaway with American Express^® Travel, you'll qualify to also receive a credit to your account of up to $100 once a year.^VIII
Baggage Insurance Plan^IX: Coverage is provided for up to $1,250 for carry-on baggage and up to $500 for checked baggage when you purchase your Common Carrier tickets on your Card.
Emergency Check-In: Check into a hotel and charge your stay with the Card, even if your Card has been lost or stolen.
Assured Reservations: Guarantee your hotel reservations with your Card and your room will be waiting for you even if you arrive late, or the hotel will provide you with a comparable room nearby, along with transportation to your new location.
Car Rental Loss and Damage Insurance^X: Coverage for theft of or damage to most rental vehicles when you use your Card to reserve and pay for an auto rental.
Travel Accident Insurance^XI: Travel Accident Insurance provides up to $100,000 in accidental death and dismemberment insurance while traveling on a Common Carrier Conveyance (plane, train, ship, helicopter, or bus) when the entire fare has been charged to the Card.

ADDITIONAL BENEFITS AND SERVICES

Emergency Services

Emergency Card Replacement^XII: Receive a new Card if yours has been lost or stolen in as little as 24 hours.
Global Assist^® Hotline^XIII: Whenever you travel more than 100 miles from home, we'll provide you with emergency assistance 24/7, including medical and legal referrals, visa/passport help, cash access, lost luggage and more.

Account Management

Access your account online 24/7: Pay your bill or view up-to-date billing information, including transactions, charges, and payments.
Online Year-End Summary: Organize your expenses in a snap - download and print the Summary; sort charges by date, merchant name, amount or category, such as Travel and Restaurant.^XIV

Dedicated Customer Service

Around-the-clock Customer Service to help you with all your account needs.

American Express^® Preferred Rewards Gold Card * Required Print Secure

First Name:*
Middle Initial:
Home Street Address:*
Home Zip Code:*

Home City*:

Do you Own? Rent?

Date of Birth:*

Physical Street Address:*
Physical Zip Code:*

Physical City:*

Last Name:*
Name on Card:*
Home Apt/Suite#:
Home Phone Number:

Home State:*

E-mail Address:*
Social Security Number:*

Physical Apt/Suite:

Physical State:*

Employer Name:
Employer City:

Employer Phone Number:

Employer State:

Alimony, child support, or separate maintenance need not be revealed if you do not wish to rely on it.

Annual Household Income:* ^$ ^.00

Income Source:*

Do You Have A (check all that apply): Checking Account? Money Market/Savings?

Additional Cards
Share the benefits of American Express with Additional Cards with no annual fee in the first year. The fee after the first year is $35 for up to five Additional Cards, and $35 for the sixth or more Additional Card. Please issue Additional Card(s) to the following individual(s) age 15 and over.

By checking this box, I certify that I have read, met and agreed to all the terms, conditions and disclosures which contain rate, fee and other important information. I understand that the annual Card fee is $125 after the first year. Membership Rewards partners will receive certain information about you in order to provide the benefits of your Membership Rewards account.

ψ If you have a Puerto Rico, Latin America or other foreign billing addrGreen Card, thet code, in, you can earn 10,000 Membership Rewards® bonus points after you spend $500 in your first 3 months of Card membership. To be eligible to earn bonus points, you must be enrolled in the Membership Rewards program at the time of pur charge yo19.
4 Terms and Conditions for the Membership Rewards^® program apply. Visit Ticketayment hismore per booserves thees). These fees are Finance Charges.
² Charges processed and posted to your account after December 31, 2007 will appear on next year's summary.
^{3

= 4)
{
$('additionalCards').removeClass('fieldGroup');
$('additionalCards').removeClass('fieldGroupAC');
$('additionalCards').removeClass('optionalFieldGroup');
$('additionalCards').setStyle('visibility','hidden');
}
}
//new Amex.RoundedCorners();
//fnValidateBalTransfers(contextHelp);
//new Amex.BalanceTransfer(contextHelp,'balanceTransfer','transferBalances');
//new Amex.AdditionalCard('additionalCards','addAdditional');

new Amex.AutoTab();

var lookup = new Amex.ZipLookup('hzip','hcity','hstate', {xmlPath:'/ngaccsg/ccsg/BlueDHTML/xml/'});
var lookupFor = new Amex.ZipLookup('ahzip','ahcity','ahstate', {xmlPath:'/ngaccsg/ccsg/BlueDHTML/xml/'});

if($('hzip').value.length > 4)
showStateCity();

$$(document.links); //Added to resolve IE bug with SmoothScroll Implementation
var scroller = new SmoothScroll();
if('null' == 'O' || 'null' == 'null' || 'null' == null || 'null' == ""){
document.forms[0].rentOwn[0].checked = true;
}else{
document.forms[0].rentOwn[1].checked = true;
}
if(window.ie)
{
new Amex.HideElements({'currentIds':['blueemail'],'hideIds':['hstate','ahstate']});
new Amex.HideElements({'currentIds':['bphone1','bphone2','bphone3'],'hideIds':['bstate']});
new Amex.HideElements({'currentIds':['ssn1','ssn2','ssn3'],'hideIds':['ahstate']});
new Amex.HideElements({'currentIds':['hphone1','hphone2','hphone3'],'hideIds':['hstate']});
new Amex.HideElements({'currentIds':['hstreet2'],'hideIds':['hstate']});
new Amex.HideElements({'currentIds':['ahstreet2'],'hideIds':['ahstate']});
}

new Amex.ThirdParty('76', '18566', '240');

if}