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New User Registration
Please enter your activation code, username and password below.
×
All fields are required.
×
Activation Code
Activation Code is required.
×
Please enter the activation code you received via email from MDVIP.
Username
Username is required.
Username must be between 6 and 20 characters
Username does not meet the guidelines.
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Username Guidelines
Username must be between 6 and 20 characters
Cannot contain spaces and/or special characters
Password
Password is required.
Password must be between 8 to 32 characters.
Password does not meet the guidelines.
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Password must contain:
Between 8 and 32 characters
One number
One uppercase letter
One lowercase letter
One of the following characters: ! " # $ % & ' ( ) * + , - . / : ; < = > ? @ [ \ ] ^ _ ` { | } ~.
Password Confirmation
Your passwords do not match.
Show Password
If you do not have an Activation Code,
click here
to have one emailed to you.
If you need help please contact a MDVIP representative at 1-877-886-1411.
If you need help please contact a MDVIP representative at
1-877-886-1411
.