Your Registration

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


Complete Dermal Filler Training	$1,599.00 Memorial Day Discount Applied remove
Mar 15 2020 Los Angeles, CA Beverly Hills Marriott

Thread Lift Training II	$1,299.00 Memorial Day Discount Applied remove
Sep 12 2020 Chicago, IL Loyola University Chicago *** This is an add-on workshop, be sure you have attended our PDO Thread Lift Taining (Level I) workshop before register.

Complete Dermal Filler Training	$1,599.00 Memorial Day Discount Applied remove
Mar 29 2020 New York City, NY The Westin New York at Times Square

Advanced Botox and Dermal Fillers (Level II)	$1,299.00 Memorial Day Discount Applied remove
Jun 14 2021 Chicago, IL Embassy Suites - Magnificent Mile

Botulinum Toxin Training	$1,199.00 Memorial Day Discount Applied remove
Oct 24 2020 Seattle, WA Archer Hotel - Redmond Town Center

Botulinum Toxin Training	$1,199.00 Memorial Day Discount Applied remove
Sep 05 2020 Riverside, CA DoubleTree by Hilton Hotel San Bernardino

Ultrasound-Guided Interventional Pain Management Procedures	$1,199.00 Memorial Day Discount Applied remove
Aug 15 2021 New York City, NY New York Marriott at the Brooklyn Bridge

PRP Training for Aesthetics	$1,399.00 Memorial Day Discount Applied remove
Sep 29 2023 Las Vegas, NV Embassy Suites by Hilton Convention Center Las Vegas

Botulinum Toxin Training	$1,799.00 Memorial Day Discount Applied remove
Oct 14 2023 New York City, NY New York Marriott at the Brooklyn Bridge

Sub-Total: $12,591.00
(-) Discount: $200.00
Clear Cart discount / vendor code codes cannot be combined. Use only one per order. Registration: $12,391.00 Credit Card Convenience Fee: $371.73 Total Amount Due: $12,762.73

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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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 ($371.73))

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3 - Billing Information

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Address 2:

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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: $12,762.73