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Registration Form

Please fill out the form below to register

Once your registration has been processed you will receive an email with more detailed information on how to login into your selected on demand webinar.

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Name *

First

Last

Email Address *

Email

Confirm Email

Cell Phone *

Date of Birth *

Please Specify Your Registration Option *

Course ONLY: $349
Course with Certification Exam: $448
Ultimate Health Coach Program: $699

Please Specify Discipline (Optional)

APRN/RN/LPN/CNS/CNA/MW
OT/COTA
LMT
DN/DH
RD/ND/NC
Fitness Professional (NASM/AFFA)
Other
Not Applicable

*Only required if you are one of the professions listed above and you wish to obtain CE Credits.

Professional License Number (Optional)

*Only required if you wish to obtain CE Credits. Please make sure your professional license information is accurately entered in order to receive your CE Credits in a timely manner.

Name as it appears on card *

First

Last

Credit Card Type *

Card Number *

CSV *

Please provide the CSV code typically located on the back of your card.

Exp. Date *

Address – Associated with Credit Card *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Is your shipping address the same as above? *

Please Provide Your Preferred Shipping Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

How did you hear about our courses? *

Do you currently use and/or prescribe any nutraceuticals, nutritional supplements or essential oils? *

If you answered "Yes" above, What brand?

Are you a current wholesale customer or wellness advocate? *

Waiver *

The information contained in this course is for educational purposes ONLY. It is not provided to diagnose, prescribe or treat any condition. The information should not be used as a substitute for medical counseling with a health professional. I understand that any unauthorized reproduction, recording, photography, screen sharing, or replication of material provided in this course, including but not limited to all visual, verbal and written, information for any purpose is strictly prohibited. I understand that I have 12 months to complete all coursework and testing and that failure to do so will require me to submit a new registration.

Waiver *

Please note that with registration packages that include the Integrative Holistic Health Coach Kit, you will see two charges on your credit card statement. One is from ISFTA for the course and credits. The second will be from dōTERRA. All health kits are shipped directly from the company to ensure guaranteed purity and potency.

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