By submitting this form, you will be applying for a FREE membership to ClubShop Rewards,
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 that ClubShop can assure you of proper credits.

ClubShop
Rewards
Proudly Presents......
ClubShop Rewards Card

...the
opportunity
to build a
Glocal Income!
*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 (Shopper) - Earn cash back rewards on all purchases made at participating merchants.
 

ClubShop Global Team Member - Same as Shopper, plus, can refer new ClubShop members and earn referral commissions when they use their membership to shop at participating merchants.

Enter your comments/questions in the space provided below.
Please enter the ID# and name of the referring individual if known:

Since many e-mail programs today are set to only allow mail from familiar "from" addresses
to be delivered, we recommend that you add to your address book the following addresses
to facilitate the flow of mail:
 Info@GlocalIncome.com
Info@ClubShop.com
ScottandJulia@windstream.net

 For your convenience, here is the link to our Privacy Policy

  If you have any questions or concerns contact Scott and Julia Cunningham