The Enrollment Process
This form is set up to simply tab between areas requiring input. For check boxes, click on the desired box to insert an “x”.
1) All Required fields (*) must be completed and the form can be sent via one of the following channels:
• Email to CorpCDAPA@aexp.com.
• Email a softcopy to your Authorizing Officer noting “I confirm my enrollment” and then having your Authorizing Officer
forward the approval and the attached form to CorpCDAPA@aexp.com noting “I authorize this enrollment.”
• Fax the form to (905) 940-7653 or toll-free to 1 (800) 685-0534.
2) You will receive an email outlining the registration process in American Express @ Work. Please make sure a valid business
e-mail address is provided on the form.
If you have any questions or need support filling out this form please call Global Servicing Network at 1 (866) 568-0308,
Monday to Friday 8:00 a.m. ET to 8:00 p.m. ET
Section 1 – American Express Account Manager Information
First Name Last Name
Business Telephone Business E-mail Address
( )
@aexp.com
Each enrollee needs to complete a separate form.
Personal information required on this enrollment form is collected and used only for the purposes of enrolling you into
American Express @ Work online services.
Section 2 – Enrollee Information
First Name* Last Name*
Business Title* Company*
Business Address*
City/Town* Province* Postal Code*
Business Telephone* Business Fax Business E-mail Address*
Authentication Information (Required for initial registration only)
* Verification Word –
You must remember this word as it is required for * Verification PIN (must be 4 digits)
authentication when prompted (4 to 20 alpha characters)
** Existing User - No need to provide Verification Word and Verification PIN, only provide existing User ID.
( ) ( )
q
NEW USER
q
EXISTING USER**
(Other region)
Existing User ID is required
@
American Express @ Work
®
User Enrollment Form
Please note that: PA Shared Access can be delegated only to PAs that are set up under the same Primary Market. If sharing is required
across multiple regions, then a User ID will need to be created for each individual market that needs to be supported.
You can email Confirmation/Authorization of Enrollment to American Express in lieu of handwritten signatures by sending an email to your Authorizing Ocer
noting “I confirm my enrollment” and then having your Authorizing Ocer forward your email and the attached form to CorpCDAPA@aexp.com noting
“I authorize this enrollment”. Faxed forms require handwritten signatures.
Section 4 - Confirmation/Authorization of Enrollment
(TO BE COMPLETED BY ENROLLEE AND AN AUTHORIZED INDIVIDUAL WITHIN THE ENROLLEE’S ORGANIZATION)
ENROLLEE
First Name* Last Name*
Signature of Enrollee* Date*
AUTHORIZING OFFICER/MASTER PROGRAM ADMINISTRATOR
First Name* Last Name*
Business Title*
Signature of Authorizer* Date*
X
X
Section 3 – Select Services
Please select the services you would like access to:
q
Online Program Management
(To be completed by the enrollee)
Master Control Account (if available)
373
Basic Control Account
(if available)
373
q
@ Work Reporting
Recipient ID
(if available)
q
Corporate Membership Rewards Management
Recipient ID
(if available)
Please select applicable services to manage the online program:
CID(s)Corporation Name
@
American Express @ Work
®
User Enrollment Form
q Online Statement
Corporate Purchasing Card
373
373
Business Travel Account
373
373
Buyer Initiated Payments
373
373
vPayment
373
373
YOUR TIME. YOUR WORK. MAKE IT COUNT.
®: Used by Amex Bank of Canada under license from American Express.
AMERICAN EXPRESS ONLINE SERVICES ADDENDUM
THIS AMERICAN EXPRESS ONLINE SERVICES ADDENDUM (“Addendum”) sets forth the terms and conditions that apply to Your Company (“Company”, “you”,
“your”, as referenced in Enrollee’s Information section on page 2), your access to and use of American Express online services, including, without limitation, any
combination of @ Work Reporting, @ Work Expense Reporting, @ Work Corporate Account Reconciliation, @ Work Hotel Folio, @ Work Corporate Membership Rewards,
and any other @ Work or other online services that Amex Bank of Canada and other affiliates and licensees of Amex Bank of Canada operating Commercial Card Services
(individually and collectively, “American Express”, as applicable may offer from time to time (“Online Services”) and which you agree to access and use in accordance
with these terms and conditions and the terms and conditions of your Commercial Services, Corporate Card, BTA or Corporate Membership Rewards Agreement
(“Agreement”). By using the @ Work services as described in this Addendum you agree to be bound by the terms and conditions of this Addendum. This Addendum is
part of your Agreement with American Express in the country where the Online Services are provided and the terms and conditions of the Agreement are incorporated by
reference herein. Capitalized terms used but not otherwise defined in this Addendum will have the meaning ascribed to such terms in your Agreement.
1. AUTHORIZED USERS. Use of the Online Services is restricted to those authorized users such as employees, contractors, or agents Company considers to reasonably
require access and designates accordingly (each a “User” and collectively, “Users”). Company agrees that Company shall not substitute or replace any User, or add any
additional Users, except upon notice to and with the assistance of American Express. Company shall be responsible for its Users and ensure that all Users comply with
the terms and conditions of this Addendum.
2. SECURITY INFORMATION. Company is responsible for protecting the confidentiality of the user ID assigned to each User by American Express and the password
associated therewith for use of the Online Services (collectively, the “Security Information”) and shall ensure that Users only access the Online Services via the designated
websites using the Security Information individually assigned to the respective User. American Express shall not be responsible for any misuse of the Online Services by
Company or its Users or anyone else, nor for disclosure of confidential information through the Online Services where Company or its Users has disclosed the Security
Information for any reason.
3. LICENSE RIGHTS AND TERMS; FEES
3.1 American Express hereby grants Company a limited, non-transferable, non-exclusive license to permit Users to access and use the Online Services that Company
elects to authorize its Users to access and use from time to time, for the sole purpose of managing data and accessing and/or creating reports relating thereto to
Company’s Commercial Card program. Additional Online Services may require a separate schedule, click-through agreement or other manual or online arrangement as
mandated by American Express from time to time (“Additional Online Services”).
3.2 American Express shall retain all rights to and in the Online Services, including, but not limited to, patents, copyrights, trade secrets, and other proprietary rights.
3.3 Neither Company nor its Users may download the Online Services. Neither Company nor its Users shall: (i) remove any copyright or other proprietary legends or
marks from the Online Services; (ii) sub-license, lease, rent, assign, transfer or distribute the Online Services to any third party; (iii) alter, modify, copy, enhance or adapt
the Online Services; (iv) attempt to reverse engineer, convert, translate, decompile, disassemble or merge the Online Services with any other software or materials; or (v)
otherwise create or attempt to create any derivative works from the Online Services. Notwithstanding the foregoing, you may download JAVA Applets as applicable based
on the Online Services selected and you may download, keep or merge reports generated by you through the Online Services. American Express retains all proprietary
rights to the format and arrangement of any and all reports generated through Online Services.
3.4 Termination and changes to this Addendum as well as termination, suspension or revocation of any User’s access to the Online Services are subject to the terms of
Company's relevant Agreement. The license granted in this section shall terminate with respect to each Online Service selected by Company upon termination of such
service by either Company or by American Express, or upon termination of Company’s relevant Agreement. Upon termination of the Online Services, or any portion
thereof, Company shall immediately require that all Users cease using the Online Services and promptly pay any applicable Fees accrued but unpaid as of the expiration
or termination date.
3.5 Company acknowledges that fees and other costs may apply with respect to the Online Services, and Company agrees to pay such fees to American Express as and
when they become due.
4. COMPANY OBLIGATIONS. Company will comply with all applicable laws with respect to the Online Services, including, but not limited to, laws related to the export of
technical or personal data. Company will only use the Online Services with content and data for which Company has all necessary rights.
5. SERVICE INTERRUPTIONS. American Express reserves the right to conduct scheduled and unscheduled maintenance. American Express will provide notice of
maintenance when reasonably possible under the circumstances. The Online Services may experience unanticipated downtime or interruptions.
6. INFRINGEMENT. American Express will notify Company of, and defend Company against, a claim that the Online Services infringes a valid Canada trademark
or copyright so long as such claim does not arise from the use or incorporation by Company of any materials not supplied by American Express to Company,
any change of such materials by anyone other than American Express, or the use of the Online Services in a process specified by anyone other than
American Express. Company shall promptly notify American Express in writing of any such claim or lawsuit and shall give American Express the right to defend and settle
any such claim or lawsuit using counsel of American Express’ choice. American Express will pay resulting costs, damages and reasonable attorney’s fees finally awarded
against Company or agreed to in any settlement provided that (i) Company promptly notifies American Express of any such claim,
(ii) American Express has sole control of the defense and all related settlement negotiations, and (iii) Company cooperates in the defense and furnishes all related evidence
in its control. If such a claim has occurred, or in the opinion of American Express’ counsel is likely to occur, Company shall immediately discontinue all use of the Online
Services.
7. DISCLAIMER OF WARRANTIES
7.1 American Express will not be responsible if any information to be made available via the Online Services is not available or is inaccurately displayed due to systems
failure, interruptions in the communications systems or other reasons outside of American Express’ control.
7.2 THE ONLINE SERVICES ARE PROVIDED “AS IS” AND AMERICAN EXPRESS AND ITS THIRD PARTY SUPPLIERS AND LICENSORS SPECIFICALLY DISCLAIM
ALL REPRESENTATIONS OR WARRANTIES OF ANY KIND, EXPRESSED OR IMPLIED, INCLUDING, WITHOUT LIMITATION ANY IMPLIED WARRANTY OF
MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, TITLE, NON-INFRINGEMENT OR ACCURACY.
8. TERM AND TERMINATION
This Addendum shall be in full force and effect for the term of the relevant Agreement unless terminated earlier by us or by you upon notice to us.
Paul Roman
Vice-President & General Manager, Global Commercial Payments
Amex Bank of Canada