DHSC Printable Money Order Application

DHS Club Upgrade Application

This application is to be used when submitting payment by Money Order or bank cheque only. * Note your money order/bank cheque must be payable in US Dollars AND have a USA bank address listed on the money order.  Please complete, print and sign the application and mail with your money order or bank cheque to the address listed below. Please read our VIP Payment Options Page for information on making monthly membership fee payments via money order.

In order for The DHS Club to process your application, you must send a copy of an ID which contains your full name and signature as proof of identity. Applications received without a copy of a signed ID will not be processed. Click For List of Acceptable IDs

Sign Me Up! Yes, sign me up as a DHS Club VIP or Partner as I have chosen below. I have read and agree to the DHS Club's Membership Agreement Terms .


Customer Information:

First Name:
Middle Name or Initial:
Last Name:
Date of Birth:
Address:
City:
State or Province:
Postal/Zip:
Country:
Email:
Home Phone:
Fax:
Choose your Password:
Your Id:
Don't know your ID? Put your sponsor's
ID here:


Payment Information: (Select one)

I am an International member and wish to pay by International Money Order made payable in United States dollars and drawn on a USA Bank.

I am a United States or Canadian member and wish to pay by money order payable in United States dollars and drawn on a USA Bank.


*** Important *** Please select the statement below that applies to you, if you understand and agree.

For VIP Applicants Only. I hereby request to upgrade my membership to VIP status.  I am enclosing $74.95USD with this application for my initial payment and first month's membership fee of $25.00USD. I acknowledge I must mail to The DHS Club $25USD each month, one month in advance, in order to maintain my VIP Membership.

For Partner Applicants Only. I hereby request to upgrade my membership to Partner status. I am enclosing a money order in the amount of $34.95USD for my Partner's subscription fee.

I have read the terms of agreement and:

You must check one of the following:  I AGREEI DISAGREE

Print this form and sign here   Date: ___/____/_____

*** Important *** Print, sign and mail this application with your money order or bank cheque and a copy of your photo ID to the address below.

The DHS Club
2560 Placida Road
Englewood, FL 34224-5412

Welcome To The Club !


4/11/01 LM in HS