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.


Botulinum Toxin Training -	$0.00 remove
May 02 2020 Orlando, FL Hotel to be announced

Medical Hair Loss Therapy Training -	$0.00 remove
Jun 26 2020 New York City, NY The Westin New York at Times Square

Anti-Aging (Modules I & II) -	$0.00 remove
Aug 29 2020 New York City, NY The Westin New York at Times Square

Key Steps B2C - Developing & Operating a Medical Practice -	$0.00 remove
Dec 14 2020 Los Angeles, CA TBD

Cosmetic Laser Courses and Certification -	$0.00 remove
Aug 22 2020 -Aug 23 2020 Costa Mesa / Orange County, CA Hotel to be announced

Complete Dermal Filler Training -	$0.00 remove
Aug 16 2020 Phoenix / Scottsdale, AZ Hotel to be announced

PRP Training for Aesthetics -	$0.00 remove
Jun 20 2020

Ultrasound-Guided Interventional Pain Management Procedures -	$699.00 remove
Jun 28 2020 Empire-Virtual-Training LiveStream / Online Training

Botulinum Toxin Training -	$0.00 remove
Mar 06 2021 Chicago, IL Embassy Suites - Magnificent Mile

Joint / Extremity / Non-Spinal Injection Course -	$0.00 remove
Jun 19 2021 Fort Lauderdale, FL GALLERYone - a DoubleTree Suites by Hilton Hotel

Complete Facial Aesthetics -	$699.00 remove
Jul 10 2020 Empire-Virtual-Training LiveStream / Online Training

Botulinum Toxin Training -	$699.00 remove
Nov 14 2020 Empire-Virtual-Training LiveStream / Online Training

Physician Medical Weight Loss Training -	$699.00 remove
Dec 13 2020 Empire-Virtual-Training LiveStream / Online Training

Complete Dermal Filler Training -	$0.00 remove
Jul 17 2021 Fort Lauderdale, FL GALLERYone - a DoubleTree Suites by Hilton Hotel

Advanced Botox and Dermal Fillers (Level II) -	$0.00 remove
Aug 21 2022 Cincinnati, OH Westin Cincinnati

Botulinum Toxin Training -	$0.00 remove
Oct 08 2022 Boston, MA AC Hotel Boston Downtown

Botulinum Toxin Training -	$0.00 remove
Oct 22 2022 Los Angeles, CA Marriott Anaheim

Complete Dermal Filler Training -	$0.00 remove
Dec 10 2022 Miami, FL Fontainebleau Miami Beach

Physician Medical Weight Loss Training -	$0.00 remove
Aug 19 2023 Empire-Virtual-Training Hotel to be announced

Sub-Total: $2,796.00
(-) Discount: $200.00
remove all discount / vendor code Registration: $2,596.00 Credit Card Convenience Fee: $64.90 Total Amount Due: $2,660.90

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

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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):

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eSignature: (Please type your full name)

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(2.5% Convenience fee ($64.90))

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3 - Billing Information

Address:

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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: $2,660.90