AMEX - Stored Value Card (SVC)
Profit Center Form
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Profit Center Information
Profit Center Name (35)
Address 1 (35)
Address 2 (35)
City (22)
State (2)
Zip (5)
Telephone (10)
Merchant Type Information
MCC/SIC (4)
Country Code *
Merchant Type *
Currency Code *
Voice Center Information
Voice Center Phone (10)
American Express
Voice Approval Merchant Number (30)
8005282121
Processor Specific Information
Merchant Type (4)
Service Establishment Number (15)
Purchasing Card
Charge Description (23)
Gift Card Information
Card Range Lower (20)
Card Length *
Card Range Upper (20)
Luhn
*These fields are non-variable, please select from pull-down options.
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The American Express logo is a trademark of American Express Company
IND87041FM-R073109
Public Document