Your Registration

Online Registration is only for new attendees; if you are an existing member please register through Empire's member portal.


Autologous Fat Transfer	$1,399.00 Memorial Day Discount Applied remove
Mar 02 2020 New York City, NY The Westin New York at Times Square

Advanced Botox and Dermal Fillers (Level II)	$1,399.00 Memorial Day Discount Applied remove
Mar 16 2020 Los Angeles, CA Beverly Hills Marriott

Facial Anatomy Cadaver Training for Aesthetics	$1,499.00 Memorial Day Discount Applied remove
Apr 05 2020 Las Vegas, NV UNLV

Kybella Certification Training	$1,399.00 Memorial Day Discount Applied remove
Oct 23 2020 Las Vegas, NV Flamingo Las Vegas

Advanced Botox and Dermal Fillers (Level II)	$1,299.00 Memorial Day Discount Applied remove
Feb 07 2021 -Feb 07 2021 Los Angeles, CA Hotel to be announced

Anti-Aging (Modules I & II)	$1,299.00 Memorial Day Discount Applied remove
Jun 10 2022 Chicago, IL Sheraton Grand Chicago

Medical Hair Loss Therapy Training	$1,299.00 Memorial Day Discount Applied remove
Mar 21 2022 Los Angeles, CA Sheraton Park Hotel at the Anaheim Resort

Advanced Botox and Dermal Fillers (Level II)	$1,399.00 Memorial Day Discount Applied remove
Sep 25 2022 Houston, TX Blossom Hotel Houston

Advanced Botox and Dermal Fillers (Level II)	$1,499.00 Memorial Day Discount Applied remove
Oct 23 2022 Nashville, TN Loews Vanderbilt Hotel

Botulinum Toxin Training	$1,499.00 Memorial Day Discount Applied remove
Nov 12 2022 Orlando, FL Signia by Hilton Orlando Bonnet Creek

Botulinum Toxin Training	$1,499.00 Memorial Day Discount Applied remove
Mar 25 2023 San Francisco, CA DoubleTree by Hilton Berkeley Marina

Complete Dermal Filler Training	$1,599.00 Memorial Day Discount Applied remove
May 07 2023 Los Angeles, CA Hyatt Regency Los Angeles International Airport

Sub-Total: $17,088.00
(-) Discount: $200.00
Clear Cart discount / vendor code codes cannot be combined. Use only one per order. Registration: $16,888.00 Credit Card Convenience Fee: $506.64 Total Amount Due: $17,394.64

1 - Customer Information

First Name:

Last Name:

Medical Title:

Email Address:

Telephone:

Are you a Practice Owner?:

Medical 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:

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
(3.0% Convenience fee ($506.64))

Name on Credit Card:

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. California courses attendees: In order to inject during hands-on sessions, you need to be licensed to inject in California.

Amount to be charged: $17,394.64