Sign up today

We're excited about you wanting to become a member of EZ Shoppers. We just need a few questions answered and you will be on your way to savings!!

This can all be done by phone by calling customer service.

Name ( First & last)

*If this is a business enter the name here.

Address

City

State

Date of birth

Social Security #

Home Phone

E-mail

Cell Phone (Optional)

Family members you would like to add to your membership (Max 1)

Membership Location

Maryland
Virginia
Madison Heights
Hampton

*Type of membership

Premium Membership
Standard Pay Per Shop
Senior Citizen Or Disabled Person
Exclusive Business
Exclusive Membership Month to Month
Coupons & Specials only Membership
The Unlimited
Errand Services / Other Services

How much do you expect to spend on shopping each week?

Add-on The Bill Pay Program below to have all your bills paid right from your E-Z Shoppers account. You never have to leave home to pay a bill again.

Would you like to add our free Pay It Green Bill Pay Program to your membership

Yes
No

Would you like to add RoadSide Assistance for $12.99 a month

Yes
No

With the EZ Shoppers Shop on us credit program we will make your purchases up to $50.00 even if you don't have the money in your account. This program also covers you if you happen to go over your account limit so you don't have to pay a over the limit fee.

Would you like to add Shop on us to your membership for $9.99 month?

Yes
No

Would you like to add EZ Shoppers business errand service for $9.99 a month

Yes
No

Promo code:

Any of the following apply to you?

Military
None
Disabled

*(optional) You may purchase and begin using your membership Immediately by clicking the 'Become E-Z Shoppers Member' button below and then referring to our Payments & Funding section and making your first payment. If you choose not to do this you may just submit this information and someone from Customer care will contact you.

** Customer E-Signature below (First & Last)