Your Registration

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


Master Injector Series I	$2,999.00 Memorial Day Discount Applied remove
Mar 21 2020 Orlando, FL Sheraton Orlando Lake Buena Vista Resort

Complete Dermal Filler Training	$1,399.00 Memorial Day Discount Applied remove
Jan 31 2021 Weehawken, NJ Sheraton Lincoln Harbor Hotel

PDO Thread Lift Training I & II	$2,299.00 Memorial Day Discount Applied remove
Mar 13 2021 New York City, NY Intercontinental NEW YORK Times Square

IV Nutrition Therapies Training	$1,399.00 Memorial Day Discount Applied remove
Jun 06 2021 New York City, NY New York Marriott at the Brooklyn Bridge

Complete Dermal Filler Training	$1,299.00 Memorial Day Discount Applied remove
Oct 24 2020 Seattle, WA Archer Hotel - Redmond Town Center

Complete Dermal Filler Training	$1,399.00 Memorial Day Discount Applied remove
Sep 11 2021 Austin, TX The Westin Austin Downtown

Complete Dermal Filler Training	$1,499.00 Memorial Day Discount Applied remove
Feb 13 2022 New York City, NY Intercontinental NEW YORK Times Square

Complete Dermal Filler Training	$1,499.00 Memorial Day Discount Applied remove
Aug 13 2022 Phoenix / Scottsdale, AZ The Westin Phoenix Downtown

PDO Thread Lift Training I & II	$2,399.00 Memorial Day Discount Applied remove
Jul 31 2022 New Orleans, LA Sheraton New Orleans Hotel

Botulinum Toxin Training	$1,499.00 Memorial Day Discount Applied remove
May 07 2023 Los Angeles, CA Hyatt Regency Los Angeles International Airport

Advanced Botox and Dermal Fillers (Level II)	$2,099.00 Memorial Day Discount Applied remove
Sep 10 2023 New York City, NY New York Marriott at the Brooklyn Bridge

Sub-Total: $19,789.00
(-) Discount: $200.00
Clear Cart discount / vendor code codes cannot be combined. Use only one per order. Registration: $19,589.00 Credit Card Convenience Fee: $587.67 Total Amount Due: $20,176.67

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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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
(3.0% Convenience fee ($587.67))

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3 - Billing Information

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Country:

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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: $20,176.67