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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)   -  
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