Come Learn about Essential Oils!

What's your name?

First Name *

Last Name *

What are you hoping to learn? What would make it a success for you? *

What's your cell phone number?

Phone *

What's Your BEST Email Address?

Email *

What would you like support with? *

I want to learn about essential oils & improving my health/life!

I'd like to host a class, help my friends, & earn free product

Tell me more about the Affiliate Program (Residual income stream w/o building a team)

Let's talk business! I want to bring health solutions to others, grow as a person, and create residual income while doing meaningful work & blessing the world!

Increasing Energy

Restful Sleep

Mood & Emotions

Digestive health

Respiratory Issues

Muscles, Joints, Ligaments

Releasing weight

Nutrition

Cleansing Home without Toxins

Kids Health Solutions

Supplements

Below wholesale pricing

Improving your finances

Humanitarian/Service/making a difference

Improving mindset

Spiritual Strengthening

other

Define "Other"

What is your mailing address? (We like happy packages!)

Address

City *

State *

Postal code *

Country

What is your experience with essential oils? *

I know nothing about them

I’ve heard of them, but never used them

I’ve used essential oils, but not doTERRA

I’ve used doterra, but I don’t have an account or a wellness advocate helping me

I already have a doTERRA Account

If you haven't tried them yet, would you like a free sample of doTERRA essential oils (specifically to for your physical/mental/emotional wellness concerns)?

Yes

No

*If you are outside the U.S. and want a sample, we will contact you to arrange it*

Who's your doTERRA Wellness Advocate? *

Livia Pewtress | Learn-Live-FLY

Other

I'm not working with a doterra wellness advocate yet, please support me

If you have a friend or family member you prefer to support you in doTERRA, please list their name here:

Who invited you to this class? *

Are you comfortable using zoom for online classes? *

Yes

No

We love to Celebrate You!

I know we maybe haven't even met yet, but I love random surprises... having your birthday is helpful. Who knows what goodies you may get?

Date of birth (click the year to easily change it)

Comments/Questions/Notes? Anything else you want me to know?