Your Registration

Online Registration is only for new customers; if you are an existing member please send an email to info@empiremedicaltraining.com with your request for registrations. If you have any questions please call 866.366.1576.


Sclerotherapy for Physicians & Nurses -	$0.00 remove
Jan 24 2020 New York City, NY The Westin New York at Times Square

Complete Dermal Filler Training -	$0.00 remove
Jun 14 2020 Charlotte, NC The Westin Charlotte

Botulinum Toxin / Dermal Filler (1-Day Training) VOD only -	$0.00 remove
Sep 11 2020 Fort Lauderdale, FL GALLERYone - a DoubleTree Suites by Hilton Hotel

Botulinum Toxin Training -	$0.00 remove
Apr 18 2020 Atlanta, GA Hotel to be announced

Sexual Dysfunction Training for Men and Women -	$0.00 remove
Jun 05 2020 Empire-Virtual-Training LiveStream / Online Training

Advanced Botox and Dermal Fillers (Level II) -	$0.00 remove
Jun 08 2020 Empire-Virtual-Training LiveStream / Online Training

Complete Dermal Filler Training -	$0.00 remove
Jan 31 2021 Weehawken, NJ Sheraton Lincoln Harbor Hotel

Complete Dermal Filler Training -	$0.00 remove
Jul 12 2020 Fort Lauderdale, FL GALLERYone - a DoubleTree Suites by Hilton Hotel

Joint / Extremity / Non-Spinal Injection Course -	$0.00 remove
Oct 09 2021 New York City, NY The Westin New York at Times Square

Botulinum Toxin Training -	$0.00 remove
Jan 22 2022 Boston, MA AC Hotel Boston Downtown

Sclerotherapy for Physicians & Nurses -	$0.00 remove
Feb 25 2022 Nashville, TN Loews Vanderbilt Hotel

Complete Facial Aesthetics -	$0.00 remove
Jun 24 2022 Detroit, MI The Westin Book Cadillac Detroit

Collagen Boosting Biostimulators for Facial Contouring -	$0.00 remove
Sep 26 2022 Orlando, FL Signia by Hilton Orlando Bonnet Creek

Botulinum Toxin Training -	$0.00 remove
Oct 29 2022 Phoenix / Scottsdale, AZ The Westin Phoenix Downtown

PDO Thread Lift Training I & II -	$0.00 remove
Feb 19 2023 Atlanta, GA Westin Peachtree Plaza

Complete Facial Aesthetics -	$0.00 remove
Mar 11 2023 Empire-Virtual-Training LiveStream / Online Training

Ultrasound-Guided Interventional Pain Management Procedures -	$0.00 remove
Jul 02 2023 Dallas, TX The Westin Dallas Downtown

PRP Training for Aesthetics -	$0.00 remove
Aug 04 2023 Empire-Virtual-Training LiveStream / Online Training

Sclerotherapy for Physicians & Nurses -	$0.00 remove
Aug 18 2023 Philadelphia, PA The Warwick Rittenhouse Square

Complications Mastery Program -	$0.00 remove
Sep 17 2023 Chicago, IL Sheraton Grand Chicago

Botulinum Toxin Training -	$0.00 remove
Sep 08 2023 New York City, NY New York Marriott at the Brooklyn Bridge

Sub-Total: $0.00
(-) Discount: $200.00
remove all discount / vendor code Registration: $-200.00 Credit Card Convenience Fee: $-5.00 Total Amount Due: $-205.00

1 - Customer Information

First Name:

Last Name:

Medical Title:

Email Address:

Telephone:

Are you a Practice Owner?:

State License #:

Name of Account Rep who guided you, if any:

2 - Payment Information

eCheck Payment

Account Type:

Bank (Institution) Name:

Routing Number:

Account Number:

Name on Account:

Amount to be Charged:

Date:

Email for Confirmation:

I (we) understand that this authorization will remain in full force and effect until I (we) notify EMPIRE MEDICAL TRAINING, INC. in writing at the following:

Empire Medical Training, Inc.
2720 East Oakland Park Blvd, #102
Fort Lauderdale, FL 33306
(954) 525-4273
(954) 358-2860 (F)

That I (we) wish to revoke this authorization.

Name(s):

Date:

eSignature: (Please type your full name)

Credit Card Payment
(2.5% Convenience fee ($-5.00))

Card Type:

Credit Card Number:

Expiration Date:

CVV:

3 - Billing Information

Address:

Address 2:

City:

Country:

State:

Zipcode:

I acknowledge that I have read and agree with the Empire Medical Training terms of service, privacy policy, and cookie policy.

Amount to be charged: $-205.00