Wellness Advocate Registration Online Registration FIrst Name Company Name Last Name Email Phone Cell Phone Address Address Line 2 City State / Province / Region Zip / Postal Code Country Select United States Puerto Rico Canada Australia Date Business Commenced: Choose Business Type Choose One Individual Corporation Limited Liability Corp/LLC Partnership Sole Proprietor Other Choose how will you be selling MyND Products Choose One Online Store Physical Store Both SSN or EIN Please upload your Reseller Certificate Please upload your Drivers Lic. or ID Please upload your Business License Submit