Marriott Bonvoy Brilliant® American Express® Card

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1.Provide Info
2.Submit Application
3.Get Decision & Accept Card

This process helps you apply with confidence. Here’s how:

Complete the application. We’ll let you know if you’re approved first — without any impact to your credit score.
If you choose to accept the Card, the information we provide to credit bureau(s) may impact your credit score.

Secure.

PERSONAL INFORMATION

First Name

Middle Initial (Optional)

Last Name

Name on Card

Your legal last name must be present on your card.

First Name

Last Name

19 characters remaining

Date of Birth (MM/DD/YYYY)

Email Address

Your e-mail address is requested for the Marriott Bonvoy Brilliant^™ American Express^® Card and the Marriott Bonvoy^™ loyalty program. By providing your e-mail address, Marriott or American Express may send you e-mail messages with important information about your Marriott Bonvoy Brilliant^™ American Express^® Card account, your Marriott Bonvoy Member Account or any other offers that may be suited to your needs. Please visit the American Express Privacy Statement and the Marriott Privacy Statement for more details and to set your e-mail preferences

Mobile Phone Number

Home Street Address

Apartment/Suite Number (Optional)

Zip Code

City

State

Social Security Number

Your Social Security Number or Individual Taxpayer Identification Number is required to verify your identity.

Total Annual Income

Include all income available to you. If under age 21, include only your own income. Income includes wages, retirement income, investments, rental properties, etc.

Alimony, child support, or separate maintenance need not be revealed if you do not wish to rely upon it.

Non-taxable Annual Income (Optional)

This field only applies if a portion of your income is non-taxable and is optional. Include here any annual income that is exempt from federal income tax. This may include social security, child support, public assistance, disability, workers compensation, and military allowances. If you're under 21, please include your personal income only.

Income Source

Enrolled in the Marriott Bonvoy loyalty program?

Yes