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Application for American Express® Card
[
*
Mandatory Fields ]
[ BUSINESS INFORMATION ]
Name of Business:
*
Date of establishment:
(eg. 31/12/1973)
*
Registration Number:
*
Nature of business:
*
[ BANKING DETAILS ]
Bank:
*
Branch:
Account:
(If Other - Specify AC)
Choose Account
Current
Savings
Loan
Credit Card
Other
-
Number of accounts at the Bank of Cyprus:
Years of cooperation with the Bank:
Persons who can give reference for you:
(name/address/tel/occupation)
[ MAIL ADDRESS ]
Mail Address:
*
Postal Code:
*
E-mail Address:
*
Tick here
if you
do not
wish to receive e-mails from Bank of Cyprus
Signature:
......................................
Date:
.......................................
Fill-in, print the application, sign it and send it to:
Bank of Cyprus
Card Center
97, Kyrenias Avenue,
Platy, Aglantzia
P.O Box 21472
1599 Nicosia, Cyprus
Or hand it into any Bank of Cyprus Branch
