Your Registration

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


Sexual Dysfunction Training for Men and Women	$999.00 Memorial Day Discount Applied remove
Mar 13 2020 Los Angeles, CA Beverly Hills Marriott

Complete Facial Aesthetics	$999.00 Memorial Day Discount Applied remove
Apr 03 2020 Las Vegas, NV Bally's Las Vegas Hotel and Casino

Botulinum Toxin Training	$1,299.00 Memorial Day Discount Applied remove
Jul 25 2020 Washington, DC Hotel to be announced

ACP & Biologics for Pain Management	$1,199.00 Memorial Day Discount Applied remove
Jan 30 2021 New York City, NY Intercontinental NEW YORK Times Square

Complete Dermal Filler Training	$699.00 Memorial Day Discount Applied remove
Aug 09 2020 Empire-Virtual-Training LiveStream / Online Training

Hormone Pellet Training and Therapies	$699.00 Memorial Day Discount Applied remove
Sep 12 2020 Empire-Virtual-Training LiveStream / Online Training

Integrating telemedicine in your practice	$699.00 Memorial Day Discount Applied remove
Aug 01 2022 Empire-Virtual-Training LiveStream / Online Training

Sub-Total: $6,593.00
(-) Discount: $200.00
Clear Cart discount / vendor code codes cannot be combined. Use only one per order. Registration: $6,393.00 Credit Card Convenience Fee: $191.79 Total Amount Due: $6,584.79

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

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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
(3.0% Convenience fee ($191.79))

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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: $6,584.79