New Customer Order Form - dōTERRA
Hello there!

I am so excited to help you on your journey with Certified Pure Therapeutic Grade oils from DōTERRA. Simply fill out the information below and your order will be placed and shipped right to your door.

With this purchase, you will automatically enjoy the benefits of being a wholesale customer, which includes: 25% off all orders, points back on shipping and every purchase, eligibility for free monthly products, and access to our support community! There is no monthly commitment.

For a limited time I'm also including AMAZING BONUSES for anyone who buys a KIT:

FREE ACCESS TO THE OIL SANCTUARY: ($900 per year) Autoimmune Tribe's online library of rituals, remedies, and protocols that incorporate CPTG essential oils.. Some examples of content include; protection ritual, cleansing ritual, protocol for Lyme disease, crystal + oil pairings, meditation for abundance, chakra healing with oils, and more being added all the time!

FREE EsSCENTial Cleanse: (value $399) Invite only for current and new customers! As we enter each new season, it is an ideal time to pause and engage in a seasonal cleanse. Hit the rest button on your physical and emotional wellness by participating in this free 5-day online event. The cleanse contains four elements (nutrition, yoga, mindfulness, self care) to ensure you come out rejuvenated in all areas of your life!

FREE ACCESS TO OIL CAMP: (value $299) Oil camp is an amazing educational resource my team and I have created exclusively for our customers. Our top priority is helping our new customers learn how to use their oils safely and effectively. We want you to feel comfortable and confident diving into your essential oils right away! During Oil Camp, we utilize Facebook to run a two-week training program complete with video coaching from me and other oil coaches, idea sharing, community building, and LOTS of giveaways! The time commitment is just 10-20 minutes per day, and you can participate whenever it is convenient for you throughout the day. This camp is always a HUGE hit with our new customers, it is designed specifically with the brand new oil user in mind!

I also want to make sure you feel SUPER comfortable with oils. So I want to offer you a FREE WELLNESS CONSULTATION (value $50). We'll discuss which oils will be best for you and your unique needs. The MANY ways to use oils. And how to set up a monthly order (if you are interested).

That's over $1,600 in free content!

I can't wait to support you on this journey.

Happy Healing,

Sarah Small
Autoimmune Tribe, Founder

STEP ONE: Select Your Enrollment Kit
Ordering an enrollment kit is the most cost-effective way to get the most out of your essential oils. The traditional $35 enrollment fee is waived with the purchase of any enrollment kit and you're getting a great bundle discount instead of buying oils one-by-one.


Which kit would you like to purchase?
Just need a few items?
While this is not the most cost-effective option, it is possible to purchase single oils, supplements, and other dōTERRA products with the wholesale discount. Please keep in mind, a $35 enrollment fee will be added to your order total but you will have 25% off all your future oil purchases!


What would you like to order?
Please enter the product name exactly as shown on the Product List.
Your answer
STEP TWO: Contact Information
Enter your contact information below.
Your name *
Please enter first and last name.
Your answer
Your email address *
Your answer
Phone number *
Please include your area code.
Your answer
Birthday *
Your answer
STEP THREE: Shipping and Billing Information
Please enter your shipping and billing addresses below.
Enter your shipping address: *
Please include street, unit number if applicable, city, state & zip. Include country if outside of the US.
Your answer
Enter your billing address: *
*Leave blank if this is the same as your shipping address!* Please include street, unit number if applicable, city, state & zip. Include country if outside of the US.
Your answer
STEP FOUR: Payment Information
All credit cards are kept private and destroyed after use.
Credit Card Type *
Card number *
Your answer
Expiration Month *
Expiration Year *
CVV2 Security Code *
(3 digit code - On back of Visa and Mastercard. 4 digit code - On front of Amex.)
Your answer
Name on Card *
Your answer
STEP FIVE: The Legal Stuff
Our lawyers make us do it!
Health Disclaimer *
As with every health & wellness product(s), I understand they are not intended to serve as a medical solution and should not be used for the diagnosis or treatment of a health problem or disease. Product(s) are not a substitute for professional medical care.
Payment Disclaimer *
Shipping and tax will be added upon checkout. The purpose of this form is solely to collect information. This form does not process your payment; your payment will be processed online via dōTERRA International Inc., through a secure and encrypted connection. You will be charged $25 upon your yearly renewal but will receive a free bottle of Peppermint (valued at $27).
STEP FIVE: Submit!
Just click that button below and you're all set!
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service