By submitting this form, you will be applying for a FREE membership to the Discount Home Shoppers Club, (DHS Club),
so that you can earn cash back rewards when you shop at participating merchants on and off-line.
You will receive a personal portal page so that you will be able to view company information, track your earnings, and
so the DHS Club can assure you of proper credits.

Please, no initials, just full names. Required fields are marked with *

The DHS Club  Proudly Presents......	*First/Given Name *Last/Family Name *E-mail *Address 1 Address 2 *City/town *State/Province *Country *Postal Code *Tel (1234567890) Skype Name FAX Business name
Membership type requested FREE   FREE   ClubShop Rewards Member - Earn cash back rewards on all purchases made at participating merchants.   Affiliate Partner - Same as Shopper, plus, can refer new ClubShop Rewards members and Affiliate Partners with the ability to earn referral fees when they use their membership to shop at participating merchants.