Nursing Professional EOCERT Registration

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Nursing Professional EOCERT Registration

Name *

First

Last

Email Address *

Email

Confirm Email

Cell Phone *

Date of Birth *

Please Specify Discipline (Optional)

Registered Nurses (RN)
Advanced Practice Registered Nurses (APRN)
Licensed Practical Nurses (LPN)
Autonomous Advanced Practice Registered Nurses (APRN)
Certified Nursing Specialist (CNS)
Certified Nursing Assistants (CNA)
Respiratory Therapist (RT/CRT)
Other

*Only required if 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.

Please Specify Your Registration Option *

Essential Oil Coach Certification All-Access Pass: $450 (FREE Shipping)
Essential Oil Integrator Package: $270 (FREE Shipping)

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 essential oils? *

If you answered "Yes" above, What brand? *

Are you a current wholesale customer or wellness advocate? *

Waiver 2 *

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.

Waiver 1 *

I understand that the course itself is NOT commercialized or associated with any one specific essential oil brand. I am receiving access to the ISFTA Essential Oil Coach Certification Course at a discounted rate which includes a dōTERRA wholesale account. I understand that my wholesale account is good for one year from the date of purchase and will not renew without my authorized consent.

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