BUSINESS APPLICATION

ADDENDUM
This form is required when any business entity applies to become a dōTERRA Independent Product Consultant. Please complete this form
and return it with all other requested materials at the bottom of this form to the dōTERRA Home Office for acceptance and approval. All
persons having any legal or beneficial interest (e.g., officers, presidents, directors, shareholders) should be indentified. You may submit as
many addendums as are necessary to be complete. If any information changes, including any organizing documents, dōTERRA must be
notified in writing and provided copies of relevant documents within thirty (30) days of the change to avoid a material breach of your IPC
Agreement. This addendum binds all persons having a beneficial interest in the applicant company by the dōTERRA IPC Agreement and
Policy Manual.

Business Name Federal Tax ID Number

Name Social Security Number

Position/Title in Business Phone

Email Fax

Signature Date

Name Social Security Number

Position/Title in Business Phone

Email Fax

Signature Date

Name Social Security Number

Position/Title in Business Phone

Email Fax

Signature Date

Name Social Security Number

Position/Title in Business Phone

Email Fax

Signature Date
Required Documents
• Completed dōTERRA IPC Agreement • Copy of the Company's Organizing Document (e.g., Articles, Certificate, etc.)
• This Business Application Addendum • Signed IRS Form W-9

© 2008 dōTERRA Holdings, LLC