Your Registration

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


Joint / Extremity / Non-Spinal Injection Course	$1,399.00 Memorial Day Discount Applied remove
Feb 08 2020 Las Vegas, NV Flamingo Las Vegas

PRP Training for Aesthetics	$1,199.00 Memorial Day Discount Applied remove
Sep 12 2020 Fort Lauderdale, FL GALLERYone - a DoubleTree Suites by Hilton Hotel

THE Pain Show	$999.00 Memorial Day Discount Applied remove
Jun 12 2020 -Jun 14 2020 Empire-Virtual-Training LiveStream / Online Training

Hormone Pellet Training and Therapies	$1,199.00 Memorial Day Discount Applied remove
Apr 30 2021 New York City, NY The New Yorker A Wyndham Hotel

Ultrasound-Guided Interventional Pain Management Procedures	$1,199.00 Memorial Day Discount Applied remove
Jun 20 2021 Fort Lauderdale, FL GALLERYone - a DoubleTree Suites by Hilton Hotel

Complete Dermal Filler Training	$1,399.00 Memorial Day Discount Applied remove
Aug 09 2020 Las Vegas, NV The Westin Las Vegas Hotel & Spa

Advanced Botox and Dermal Fillers (Level II)	$1,299.00 Memorial Day Discount Applied remove
Jul 11 2021 Detroit, MI The Westin Southfield Detroit

Complete Dermal Filler Training	$1,399.00 Memorial Day Discount Applied remove
Jun 26 2021 Los Angeles, CA Marriott Anaheim

Complete Dermal Filler Training	$1,399.00 Memorial Day Discount Applied remove
Aug 14 2021 San Antonio, TX Hyatt Regency San Antonio Riverwalk

Advanced Lip Filler Injection Techniques	$1,399.00 Memorial Day Discount Applied remove
Mar 21 2021 Los Angeles, CA Marriott Anaheim

Collagen Boosting Biostimulators for Facial Contouring	$1,399.00 Memorial Day Discount Applied remove
Mar 13 2021 New York City, NY Intercontinental NEW YORK Times Square

	$399.00 Memorial Day Discount Applied remove
Jun 01 2021 Empire-Virtual-Training LiveStream / Online Training

Botulinum Toxin Training	$1,299.00 Memorial Day Discount Applied remove
Dec 04 2021 Nashville, TN Homewood Suites Nashville/ Vanderbilt West End

Complete Dermal Filler Training	$1,599.00 Memorial Day Discount Applied remove
Nov 19 2022 Charleston, SC Francis Marion Hotel

Advanced Botox and Dermal Fillers (Level II)	$1,399.00 Memorial Day Discount Applied remove
Apr 30 2023 Phoenix / Scottsdale, AZ Wyndham Phoenix Airport/Tempe

Joint / Extremity / Non-Spinal Injection Course	$1,399.00 Memorial Day Discount Applied remove
Jul 08 2023 Los Angeles, CA Marriott Anaheim

Sub-Total: $20,384.00
(-) Discount: $200.00
Clear Cart discount / vendor code codes cannot be combined. Use only one per order. Registration: $20,184.00 Credit Card Convenience Fee: $605.52 Total Amount Due: $20,789.52

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 ($605.52))

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: $20,789.52