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User Application Form

User application is NOT required to purchse items form the website, like eBooks, video files, downloadable products or paperback books.

User application is required for on-line training clients, trainers, authors, translators, affiliate and any other type of MDT.com services.

Clients will automatically be registered. Authors, translators and trainers will receive an email confirmation within the next 2 business days. All users are allowed to participate in the affiliate program once accepted, if the correct payment information is provided.

* = Required fields for clients.
All fields required for other applicants.
* First and last name
  Date of birth Day  Month  Year
Business name, if any
* Valide email, will be verified
* Valid email again
Send payments to my Paypal email
Applicable for all but clients
Phone
If outside of North-America, provide full
phone information including counry code.
Street address 1
Street address 2

City
State/Province
Zip/Postal code
Country
* Desired username
* Desired password
* Desired password again
For each of your interests in MDT.com, please confirm you have read and approve the terms that apply to your condition. At least 1 box must be checked. It is possible to upgrade your account later on.
* I want to be a client I agree to the client terms
I want to sell product, eBooks, videos,... I agree to the authors/sellers terms
I want to be a MDT.com translator I agree to the translators terms
I want to be a MDT.com affiliate I agree to the affiliates terms
If you checked more than the "client" box above, please provide information as in what you wish to sell that you own rights, your experience as a trainer, how you could help MDT.com be known, or any other information that concern your application.

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