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
Nov 20 2020 Dallas, TX Le Meridien Dallas by the Galleria

Facial Anatomy Cadaver Training for Aesthetics -	$0.00
Jan 25 2020 New York City, NY Cornell University, ILR School

IV Nutrition Therapies Training -	$0.00
Jan 18 2020 Orlando, FL Sheraton Orlando Lake Buena Vista Resort

Kybella Certification Training -	$0.00
May 29 2020 New York City, NY The Westin New York at Times Square

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

Complete Dermal Filler Training -	$0.00
Jan 16 2021 Las Vegas, NV The Westin Las Vegas Hotel & Spa

Botulinum Toxin Training -	$0.00
Dec 18 2021 Cincinnati, OH Westin Cincinnati

Allergy Test and Treatment -	$0.00
Jul 15 2022 Empire-Virtual-Training LiveStream / Online Training

PDO Thread Lift Training I & II -	$0.00
Dec 11 2022 Miami, FL Fontainebleau Miami Beach

Botulinum Toxin Training -	$0.00
Jul 08 2023 Atlanta, GA Westin Peachtree Plaza

Advanced Lip Filler Injection Techniques -	$0.00
Sep 16 2023 Los Angeles, CA Hyatt Regency Los Angeles International Airport

Sculptra Aesthetic Injection Training -	$0.00
Dec 03 2023 Cincinnati, OH Westin Cincinnati

Sub-Total: $699.00
(-) Discount: $200.00
remove all discount / vendor code Total Amount Due: $499.00

Choose Payment Type

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% Covenience fee)

Card Type:

Credit Card Number:

Expiration Date:

CVV:

City:

Country:

Your Registration

Sub-Total: $699.00

Choose Payment Type

1 - Customer Information

2 - Payment Information

eCheck Payment

Credit Card Payment
(2.5% Covenience fee)

3 - Billing Information

Your Registration

Sub-Total: $699.00

Choose Payment Type

1 - Customer Information

2 - Payment Information

eCheck Payment

Credit Card Payment(2.5% Covenience fee)

3 - Billing Information

Credit Card Payment
(2.5% Covenience fee)