Your Registration

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


PDO Thread Lift Training I & II	$1,499.00 Memorial Day Discount Applied remove
Feb 01 2020 Fort Lauderdale, FL GALLERYone - a DoubleTree Suites by Hilton Hotel

Botulinum Toxin Training	$1,499.00 Memorial Day Discount Applied remove
Feb 08 2020 New York City, NY The Westin New York at Times Square

Anti-Aging (Modules I & II)	$1,199.00 Memorial Day Discount Applied remove
Jul 25 2020 Orlando, FL Hotel to be announced

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

Dermatology Procedures for the Primary Care Practice	$699.00 Memorial Day Discount Applied remove
Jul 09 2022 Empire-Virtual-Training LiveStream / Online Training

Cosmetic Laser Courses and Certification	$1,399.00 Memorial Day Discount Applied remove
Dec 03 2022 -Dec 04 2022 New York City, NY Long Island Marriott

Physician Medical Weight Loss Training	$699.00 Memorial Day Discount Applied remove
Dec 11 2022 Empire-Virtual-Training LiveStream / Online Training

Complete Dermal Filler Training	$1,699.00 Memorial Day Discount Applied remove
Aug 05 2023 Charlotte, NC DoubleTree by Hilton Charlotte

Complete Dermal Filler Training	$799.00 Memorial Day Discount Applied remove
Nov 12 2023 Empire-Virtual-Training LiveStream / Online Training

Advanced PDO Threads	$3,299.00 Memorial Day Discount Applied remove
Aug 24 2024 Brooklyn, NY Hotel Indigo Williamsburg - Brooklyn

Sub-Total: $14,090.00
(-) Discount: $200.00
Clear Cart discount / vendor code codes cannot be combined. Use only one per order. Registration: $13,890.00 Credit Card Convenience Fee: $416.70 Total Amount Due: $14,306.70

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 ($416.70))

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: $14,306.70