Sample Request Form

Free Sample Request Form
Please fill out this form to request your free sample. Please note that we provide samples only to businesses seriously considering incorporating our oils into their products. There will be a sample fee for non-established businesses or for samples that exceed a certain volume or cost.
1) Which of our products are you most interested in sampling? (Select all that apply.)*

Essential OilsFragrance OilsBlendsRoll-OnsCarrier OilsSoap BasesOther

4) What volume of essential oils do you typically purchase annually?

Less than 5 lbs5-25 lbs25-100 lbs100+ lbsOther

5) What is your estimated annual spend on essential oils?

Under $5,000$5,000 - $20,000$20,000 - $50,000$50,000+Other

6) How soon do you plan to purchase essential oils?*

ImmediatelyWithin the next 3 months3-6 months6-12 monthsNot sure

9) Which certifications are important to your business? (Select all that apply.)*

OrganicKosherVeganIOS-certifiedNoneOther

What is your preferred method of communication? (Check all that apply or select one)*

EmailPhone callText message
What is the best time of day to reach you?*
What's your time zone?*

Please officially submit your sample request.

Your responses cannot be counted unless you complete this step.
Your Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Business Name*
Website or Social Media Page*
Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
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Free Sample Request Form