Personal Information

*Primary First Name:

*Primary Last Name:

Co-App First Name:

Co-App Last Name:




*Time Zone:

* Preferred Language:

Contact Information

*Evening Phone:

Day Phone:

Cell Phone:



*Birth Date:

Must be 18 years old

Shipping Address




Please Enter Your Sponsor ID

*Enroller ID:
No Enroller ID? About Placement

Sponsor ID:
Leave blank if same as enroller

Enroller Name:
Don't Know Enroller or Sponsor ID? That's OK. For now, enter their full name in the field below. Later, if you need to verify placement, please e-mail

Create A Password

*Enter Password:

*Re-Enter Password:

This password enables you to login, shop, and manage your dōTERRA account.
Password must have:
  • 8 to 15 letters and numbers
  • at least 1 Capital Letter
  • at least 1 Lower Case Letter
  • at least 1 Number
Credit Card

Card Name:
Expiration Month:
Expiration Year:
Card Number: - - -
Credit card # is valid
Incorrect Card Number
CVV2 Data:
CVV2 Data: The last 3 digits on the back of your credit card above the signature.