Your Registration

Online Registration is only for new attendees; 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 / Dermal Filler (1-Day Training) VOD only	$2,399.00 remove
Mar 15 2020 Fort Lauderdale, FL GALLERYone - a DoubleTree Suites by Hilton Hotel

Botulinum Toxin Training	$1,499.00 remove
Jun 27 2020 New York City, NY The Westin New York at Times Square

Complete Dermal Filler Training	$1,399.00 remove
Aug 09 2020 New York City, NY The Westin New York at Times Square

Physician Medical Weight Loss Training	$1,199.00 remove
Jul 25 2021 Orlando, FL Hilton Orlando Lake Buena Vista

Complete Dermal Filler Training	$1,399.00 remove
Jul 12 2020 Fort Lauderdale, FL GALLERYone - a DoubleTree Suites by Hilton Hotel

Botulinum Toxin Training	$1,199.00 remove
Oct 24 2020 New Orleans, LA ---

Anti-Aging (Modules I & II)	$699.00 remove
Feb 28 2021 Empire-Virtual-Training LiveStream / Online Training

Medical Hair Loss Therapy Training	$1,199.00 remove
Feb 05 2021 -Feb 05 2021 Fort Lauderdale, FL GALLERYone - a DoubleTree Suites by Hilton Hotel

Advanced Lip Filler Injection Techniques	$1,399.00 remove
Jul 11 2021 Dallas, TX The Westin Dallas Downtown

PDO Thread Lift Training I & II	$2,299.00 remove
Jul 24 2021 Dallas, TX The Westin Dallas Downtown

Botulinum Toxin Training	$699.00 remove
Jul 16 2022 Empire-Virtual-Training LiveStream / Online Training

Complete Dermal Filler Training	$1,599.00 remove
Feb 18 2023 Naples, FL Hilton Naples

Complete Dermal Filler Training	$1,599.00 remove
Apr 22 2023 Philadelphia, PA The Warwick Rittenhouse Square

Sclerotherapy for Physicians & Nurses	$1,399.00 remove
Aug 06 2023 Charlotte, NC DoubleTree by Hilton Charlotte

Sclerotherapy for Physicians & Nurses	$1,399.00 remove
Nov 10 2023 Atlanta, GA Westin Peachtree Plaza

Sub-Total: $21,385.00
(-) Discount: $200.00
remove all discount / vendor code Registration: $21,185.00 Credit Card Convenience Fee: $529.63 Total Amount Due: $21,714.63

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:

Would you bring your own model?: (if applicable)

Would you like to participate as a model for others?: (if applicable)

2 - Payment Information

eCheck Payment

Account Type:

Bank (Institution) Name:

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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):

Date:

eSignature: (Please type your full name)

Credit Card Payment
(2.5% Convenience fee ($529.63))

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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: $21,714.63