AXP Referral Submission Form Business Unit Business unit *AMEX GCP - Card Company Information Company Name Address City Country - Select - *USAAbu DhabiAdmiralty IslandsAfghanistanAjmanAl AinAland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntiguaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelgiumBelizeBeninBermudaBhutanBoliviaBosnia-HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina-FasoBurundiCambodiaCameroonCanadaCape VerdeCaroline IslandsCayman IslandsCentral African RepChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCyprusCzech RepublicDemocratic Republic of CongoDenmarkDjiboutiDominicaDominican RepublicDubaiEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesFujairahGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard & Mc Donald IslandsHondurasHong Kong ChinaHungaryIcelandIndiaIndonesiaIraqIrelandIsraelItalyIvory CoastJamaicaJapanJordanKampucheaKazakhstanKenyaKirghiziaKiribatiKuwaitLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacau ChinaMacedoniaMadagascar/MalagasyMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia Fed StMidway IslandMoldaviaMonacoMongoliaMontserratMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern IrelandNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRas Al KhaimahRepublic of KoreaRepublic of MontenegroRepublic of SerbiaReunion IslandRomaniaRwandaSamoa AmericanSamoa WesternSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSeychellesSharjahSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth Sandwich IslandsSpainSri LankaSt HelenaSt Kitts-NevisSt LuciaSt PierreSt VincentSurinameSvalbard & Jan Mayen IslandsSwazilandSwedenSwitzerlandTaiwan ChinaTajikstanTanzaniaThailandTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkish Rep. of N. CyprusTurkmenistanTurks & Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUmm Al QaiwainUnited Arab EmiratesUnited KingdomUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands UKWake IslandWallis & Futuna IslandWestern SaharaYemen Arab RepublicYemen SoutZambiaZimbabwe US state/Canadian province US state/Canadian province (if applicable): *AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashingon DCFloridaGeorgiaHawaiiIdahoIlliniosIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisonsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal code Number of employees How does the company process payroll? How does the company process payroll?CeridianPaychexADPAdministaffUltimateIn-HouseOtherDont know Current expense reporting process: Current expense reporting process: * *SAP Travel Management on premiseWeb-based expense reporting solutionFinance/accounting software with expense reporting moduleManual expense reporting process (paper or spreadsheet)Other, such as custom in-house solution Annual air transactions Monthly expense report volume: Monthly expense report volume: *< 100100 - 499500 - 1,000> 1,000 Current AXP customer? Current AXP customer? *Yes - Corporate Card CustomerYes - OPEN CustomerNo Product interested in Product interested in *TravelExpenseTravel & ExpenseT&E and InvoiceExpenseItTripItInvoiceAll Company Contact Information Phone number First name Last name Business email AXP Rep Information Full name Phone number Email AXP rep position AXP rep position *Specialist/ AnalystManagerDirectorVP & Above AXP rep country AXP rep country *USAU.K.ArgentinaAustraliaCanadaGermanyFranceMexicoJapanNetherlandsHong Kong SAR of ChinaIndiaItalySpainSingaporeSwedenSwitzerlandNorwayDenmarkFinlandTaiwan Rep region Rep region *EastCentralWestSoutheastSouthern CASouthNorthNY Tri-StateMid-AtlanticMountain SouthMMCGOther AXP rep segment AXP rep segment *Business TravelCADCATCMTCAGCET/EETCDTDirectDirect / RemoteEnterpriseField ManagedGCGGCG ADGCG SalesGBDLarge Managed ADLarge MarketMid MarketMiddle MarketNationalNational SalesOBTOtherRAMRegional SalesVAMUS LMUS MMMultinational Global Business PartnershipsMiddle Market DirectMultinationalGlobal Business PartnershipsSmall Market Comments Select one (you will not be able to submit the form without checking one of the below): No The prospective customer named in this form is NOT a Government Entity* Yes The prospective customer named in this form IS a Government Entity* *Click to review the definition and additional information regarding the identification of Government Entities. As indicated in the hyperlinked information, Government Entity is a very broad category that includes any agency at any level of government, government-owned and controlled entities, public universities and hospitals, and more.By submitting this form, I confirm that the individual whose business contact information is provided above is interested in learning more about SAP Concur solutions, and that I have obtained the consent of such individual to share his/her information with SAP Concur for the purpose of responding to this individual’s inquiry. C Legal Opt In1 c_legal_opt_in_tw1 是 否 c_legal_opt_in_tw2 是 否 SAP Consent This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.