How do I enroll in AutoPay?

Simply fill out this application or log on to americanexpress.com/autopay, where enrollment iseasy, quick and secure. If you choose to complete thepaper application, please provide your name, AmericanExpress account number, checking or savings accountnumber, and bank routing number. Please rememberto indicate whether you are enrolling a personal orbusiness bank account and whether it is a savings orchecking account. We cannot enroll money market,line of credit or credit and investment accounts.Additionally, enrolling a personal checking account forsmall business automatic payments may result in areturned payment from your financial institution, dueto banking regulations. Please note, only the Basiccardmember can enroll in AutoPay.

When will the AutoPay withdrawal take place each month?

The AutoPay will be withdrawn no sooner than 25days after your statement closing date printed on yourbilling statement.

How will I know when I'm enrolled?

If you choose to enroll through this application, pleaseallow 4 to 6 weeks for mail and processing time. Onceyou’re enrolled, you will see a message on yourmonthly billing statement letting you know that youare now officially enrolled. Until you see the state-ment message, please continue to pay your bill by themethod you currently use or you can enroll online atamericanexpress.com/autopay and receive an immediateconfirmation of enrollment.

Will I still receive a monthly billing statement after I'm enrolled?

Absolutely! You will continue to receive your monthlybilling statement after you’re enrolled in AutoPay. Q.

Will I have the opportunity to review my statementprior to the payment being taken out of my bankaccount?

Yes! You will receive your billing statement prior tothe automated payment debit date. You can also reviewyour statement on www.americanexpress.com.

Can I cancel my enrollment in the service?

You can cancel your enrollment by logging on towww.americanexpress.com/autopay or by callingCustomer Service at the number on your AmericanExpress Card. Your cancellation must occur at leasttwo business days before your scheduled debit date.

Can I pay an amount different from what I haveselected on the application?

If you would like to make a payment in an amountother than the amount you specified you must callCustomer Service at the number on your AmericanExpress Card or billing statement or change your pay-ment option online at americanexpress.com/autopay at least two business days before the scheduled debitdate. Also, you may make additional payment usingPay by Phone, Pay by Computer or a check.Additional payments will be applied to your balanceowed and will affect the amount withdrawn for yourautomated payment on your debit date.

If I sign up for fixed amount, what will happen ifmy balance is less than or greater than the amountI have specified?

If the fixed amount you have specified is greater thanthe amount owed on the account, then we will debitthe amount owed. If the fixed amount is less than theamount owed on the account, we will debit the fixedamount and you will have to make an additional pay-ment to pay the amount due on your account.

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Can I change my AutoPay debit date?

Yes, if that option is offered for the product you have enrolled. If you would like to change your payment date, go to www.americanexpress.com/autopay, click on theChange my AutoPay options link, then ChangeAutoPay Bank / Payment Options and select thenew payment date. Your request must be receivedat least 2 business days before your scheduleddebit date. Please note: If you change your pay-ment date to a day that is both earlier than the daywe receive your change request and your existingpayment date, it will result in a suspension ofAutoPay for the current billing period. For exam-ple, AutoPay for the current billing period wouldbe suspended if on day 18 of the current billingperiod we receive your request to change yourexisting payment date of day 24 of the billing period to day 16. When AutoPay is suspended, youwill need to make a payment through an alternatepayment method, such as Pay by Computer, Pay by Phone or a check. AutoPay will resume withyour updated AutoPay selections in the followingbilling period. Please note, however, that if youchange your payment date to a day that is laterthan the day we receive your change request butbefore your existing payment date the change willbe effective for the current billing period and you would not need to make a payment through an alternate payment method. For example, AutoPayfor the current billing period would not be suspended if on day 18 of the current billing period we receive your request to change yourexisting payment date of day 24 of the billing period to day 20.

Can I suspend payment?

Yes, you can suspend AutoPay by callingCustomer Service at the number on the back ofyour American Express Card or by logging on towww.americanexpress.com/autopay to select themonths in which your automatic payments shouldbe suspended. Changes must occur at least twobusiness day before your scheduled debit date totake effect for that month.

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14.375”

3.625” 3.625” 3.5625” 3.5”

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You have a million things to remember

every month. Now you can forget about

one of them — paying your American

Express Card bill — by enrolling in

AutoPay.

With AutoPay, you can choose to have your

designated amount withdrawn from your

bank account every month automatically.

So you can forget about stamps, about

checks, and about payment due dates.

AutoPay remembers it all for you.

Why should I sign up to have my AmericanExpress bill paid automatically each month?

When you enroll, you will enjoy the convenience of having your American Express bill paid automatically from your bank account each month.That's one less bill you have to worry about, one lesscheck to write, and one less stamp to use every month. This service will not only give you peace of mind, it can save you time.

Is there a charge for participation?

No. Participation in the AutoPay plan is free ofcharge.

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A U T O P A Y A L W A Y S

remembersT O P A Y Y O U R A M E R I C A N

E X P R E S S® C A R D B I L L

AUTOPAY TERMS & CONDITIONSBy enrolling in the American Express AutoPay Program (the "Program"), I am authorizingAmerican Express to debit the bank account I designate (the "Designated Account") eachbilling period to pay automatically the amount due on my American Express Card state-ment. The amount of the debit will depend upon the payment preference I have selected. American Express will advise me by a billing statement message of the amount and dateof the payment that will be automatically debited. To receive confirmation of the debittransfer taking place, I may log onto my Card account online at americanexpress. com, orcall my bank, or call American Express Customer Service at the number on the back ofmy Card.1. Automated Payment Amount.A. Total New Balance:American Express credit card accounts allow all charges to be paid over time. If I selectthe “Total New Balance” automatic payment option, American Express will debit myDesignated Account for the entire New Balance shown on my billing statement.B. Pay only the minimum amount:If I select the “Minimum Due” automatic payment option, American Express will debitmy Designated Account for the Minimum Due shown on my billing statement.C. Pay a fixed payment amount:If I select the “Fixed Amount” automatic payment option, American Express will debit myDesignated Account for the fixed amount that I have selected. If the fixed amount I havechosen is greater than the New Balance on my American Express Card account, thenAmerican Express will debit the New Balance on my account. If the fixed amount is lessthan the Minimum Due on my account, I understand that I must make additional pay-ments to pay the Minimum Due.I understand that each such debit will occur on the date specified on the billing state-ment, which will be no earlier than twenty five (25) days after closing date of such billingstatement. I agree that unless I notify American Express to stop or adjust the amount ofthe debit, in accordance with the procedures set forth in paragraph 3 below, you areauthorized to debit the funds from the Designated Account in the amount specified in theautomatic payment option I have selected. I will ensure that there are sufficient funds inthe Designated Account on the specified debit date to pay the amount of the debit.For any automatic payment option I have selected, you are authorized to reduce theamount of the debit previously disclosed to me on my billing statement by the amount ofany payments or credits applied (excluding purchase credits) to my Card account prior tothe scheduled debit date.I understand that if my Card account is cancelled and there is an outstanding balance onthe Card account, you will continue to automatically debit my Designated Account unlessI terminate participation in the Program in accordance with the procedures set forth inparagraph 4 below. If I close my Designated Account, I agree to notify you beforehand toenable you to stop initiating debit transactions.2. Additional Payments.If I would like to make payment in addition to the automated payment amount I haveselected I may do so using Pay by Computer, Pay by Phone or another means such as acheck.3. Stop Payment Orders/Adjustments.If I want to stop an automated payment or make an adjustment to the amount of theupcoming automated payment, I can do so online by logging into my Card account atamericanexpress.com, calling Customer Service at 1-800-227-4669, or writing toAmerican Express, P.O. Box 981540, El Paso, TX 79998. My request must be received byAmerican Express at least two (2) business days before the scheduled debit date on mybilling statement. If I call to make an adjustment within 2 days of scheduled debit date,my request may not be processed until the following billing period.4. Termination of participation in the Program.I may terminate my participation in the Program by logging into my Card account onlineat americanexpress.com, calling American Express at 1-800-227-4669 or writing toAmerican Express, P.O. Box 981540, El Paso, TX 79998. American Express must receivemy request at least two (2) business days before the scheduled debit date specified onmy billing statement. American Express may revoke my right to participate in the Programat any time for any reason, but a written notice of such revocation will be provided.For purposes of the Program, business days are Monday through Friday. Holidays are notincluded. If the scheduled debit date is on a weekend or banking holiday, the debit willbe made on the next business day.

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P A Y Y O U R B I L L

W I T H A U T O P A Y

14.3125”

3.5” 3.5625” 3.625” 3.625”

8375”

I hereby enroll my American Express Card account in theAutoPay payment option. By checking one of the AmountOptions below, I understand that the Total New Balance,Minimum Amount Due or Fixed Amount I have chosen willbe automatically deducted from my account.

Name: _______________________________________________________

American Express Card Account Number:

Amount Options: (check one)

❑ Total New Balance

❑ Minimum Amount Due

❑ Fixed Amount: $______________________

Bank Routing Number:

(9-digit number on bottom left corner of check)

Bank Account Number:

Please choose the bank account and type

❑ Checking ❑ Personal❑ Savings ❑ Business

I understand that the amount of the payment may vary everymonth, and my billing statement will be my notice regardingthis automatic payment.

Signature: ________________________________ Date: ____________

PLEASE RETAIN THIS COPY FORYOUR RECORDS

I hereby enroll my American Express Card account in theAutoPay payment option. By checking one of the AmountOptions below, I understand that the Total New Balance,Minimum Amount Due or Fixed Amount I have chosen willbe automatically deducted from my account.

Name: ________________________________________________________

American Express Card Account Number:

Amount Options: (check one)

❑ Total New Balance

❑ Minimum Amount Due

❑ Fixed Amount: $______________________

Bank Routing Number:

(9-digit number on bottom left corner of check)

Bank Account Number:

Please choose the bank account and type

❑ Checking ❑ Personal❑ Savings ❑ Business

I understand that the amount of the payment may vary everymonth, and my billing statement will be my notice regardingthis automatic payment.

Signature: ________________________________ Date: _____________

Please mail form to: American ExpressP.O. Box 981540EL Paso, TX 79998

enroll I N A U T O P A Y

T O D A Y .

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