Vendor Registration

Username*

Username*

Email*

Email*

First Name

First Name

Last Name

Last Name

Store Name*

Store Name*

https://www.mindnetiq.com/stores/[your_store]

Address 1*

Address 1*

Address 2

Address 2

Country*

Country*-Select a location-CanadaUnited States (US)

City/Town

City/Town

State/County

State/County

Postcode/Zip*

Postcode/Zip*

Store Phone*

Store Phone*

Please submit link to some of your work

Please submit link to some of your work

Do you work with affiliate programs and who they are

Do you work with affiliate programs and who they are

Do you think you may need help with setting the store?

Do you think you may need help with setting the store?

Account Type*

Account Type*I am a vendor/instructor/job poster

Area of Interest*

Area of Interest*Personal PowerSelf ImprovementSpiritualityLifestyleEmotions & FeelingsBeliefs & ThoughtsBehaviorRelationshipsScienceHealthBusinessOther

Password*

Password*

Confirm Password*

Confirm Password*

* Agree  Terms & Conditions