Apply for Membership at Members Benefit Services of Tyler, Texas

Apply Today!

If you wish to renew your membership, please click here. And thank you for coming back. We're glad you enoy the savings at Members Benefit Services.

Application Form

Please complete all fields...


Your Full Name:
Date of Birth:
Spouse Full Name:
Spouse's Date of Birth:
Address:
City:
Zip:
Home Telephone:
Work Telephone:
Employer:
Email:
Number of Children:
Tell us how you found MBS:
Agent:
Are you a first time customer?

Members Benefit Services respects your privacy. Under no circumstances will the information you send, in part or in whole, be shared with any third parties.

Notice to New Customers

New customers — When you're ready to apply, we'll make it as easy as possible for you. Choose the following methods:

Fill out this simple online Application Form and submit your information. Once your information has been submitted, you will be directed to our online payment center, where you can make a secure online payment using PayPal. Then, one of our representatives will contact you right away to get you started.

or...
Click here to download our application form. Complete the form, enclose a check in the correct amount and mail to:

Members Benefit Services
1530 SSW Loop 323, Suite 112, Tyler, Texas 75701

or...
Call us at 903.526.2656 and we'll take care of you right over the phone.