The Corporate Platinum Card from American Express

The Corporate Platinum Card? from American Express

Priority Pass Enrolment Form

PRIORITY PASSTM

As part of the American Express Global Lounge Collection, Corporate Platinum Cardmembers can receive complimentary membership in Priority Pass - one of the world's largest independent airport lounge programs. You can access airport lounges around the globe, regardless of your choice of airline or cabin class. To access a lounge, you must show a valid Priority Pass membership card (or digital membership card), along with a boarding pass for travel on the same day and government-issued I.D. For more information about Priority Pass and airport lounge locations, please visit .

Enrolment

Please complete and sign the enrolment form below and mail it back to American Express. Once your enrolment has been processed, a Priority Pass Membership Kit will be sent to you at the address associated with the account below within 15 to 20 business days. It will contain the Priority Pass Membership Card required for lounge entry, a directory listing of all the participating airport lounges, and a welcome letter with your PIN in order to access your digital membership card. Your Priority Pass membership is valid as long as your Corporate Platinum Card is active. This enrolment form is individual and non-transferable.

If you're travelling with one guest, he or she may accompany you at no cost. For any additional guests, your Corporate Platinum Card will be charged the prevailing retail rate1. Please note that via your enrolment, your Priority Pass membership will be linked to your Corporate Platinum Card for the automatic billing of guest visits.

Please complete this enrollment form and send it to: Amex Bank of Canada Re: CorpPlatPriorityPass PO Box 7000 Station B Willowdale, Ontario, M2K 2R6

PLEASE COMPLETE THIS FORM TO ENROL IN PRIORITY PASS

DAAXBB0902PR Please Note: Your application will not be processed if any information requested below is missing or if the information provided is incorrect or unreadable.

Title Mr

Mrs

Ms

Miss

Name (as it appears on your Corporate Platinum Card)

Company Name

Corporate Platinum Account Number

Expiration Date

I authorize American Express to submit the following account information: Address, City, Province, Postal Code and Phone number currently on file for the above noted account number to Priority Pass in order to receive my Priority Pass membership. I understand that any discrepancies with the information provided will be my responsibility to update with the appropriate parties. I agree to abide by the "Conditions of Use" included in the Lounge Directory that I will receive upon enrolment and are published at . Additionally, I instruct Priority Pass to charge lounge usage fees for my accompanying guests to my Corporate Platinum Card at the prevailing rate. Renewal terms and conditions are at the discretion of Priority Pass.

Signature of Corporate Platinum Cardmember

Date

American Express Internal Use Only: PPAP

TM, ?: Used by Amex Bank of Canada under license from American Express. Copyright ?: Amex Bank of Canada, 2019.

1. The charge in US Dollars will be converted into Canadian Dollars. The conversion will take place on the date the charge is processed by us, which may not be the same date on which the charge was made depends on when the charge was submitted to us. Unless a specific rate is required by the law, American Express treasury system will use conversion rates based on interbank rates that it selects from customary industry sources on the business day prior to the processing date, increased by a single conversion commission as specified in your billing statement or otherwise disclosed by us. If the charge is converted by a third party prior to being submitted by us, any conversions made by those third parties will be at rates selected by them. Fee is subject to change without prior notice.

14166 (08/19) 10061919

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