Your Registration

Online Registration is only for new attendees; if you are an existing member please send an email to info@empiremedicaltraining.com with your request for registrations. If you have any questions please call 866.366.1576.


PRP 3-Hour Demonstration	$599.00 remove
Mar 03 2018 Miami, FL Loews Hotel - Miami Beach, Florida

PRP Training for Aesthetics	$1,199.00 remove
Mar 09 2020 Houston, TX Aloft Houston Downtown

Botulinum Toxin / Dermal Filler (1-Day Training) VOD only	$2,399.00 remove
Mar 28 2020 Chicago, IL Loyola University Chicago

Anti-Aging (Modules I & II)	$1,199.00 remove
May 01 2021 New York City, NY The New Yorker A Wyndham Hotel

Joint / Extremity / Non-Spinal Injection Course	$1,199.00 remove
Jul 10 2021 Los Angeles, CA Marriott Anaheim

Ultrasound-Guided Interventional Pain Management Procedures	$1,199.00 remove
Jul 11 2021 Los Angeles, CA Marriott Anaheim

PRP Training for Aesthetics	$1,199.00 remove
Jul 10 2020 Fort Lauderdale, FL GALLERYone - a DoubleTree Suites by Hilton Hotel

PDO Thread Lift Training I & II	$999.00 remove
Feb 20 2021 Empire-Virtual-Training LiveStream / Online Training

Medical Hair Loss Therapy Training	$1,299.00 remove
Aug 27 2021 New York City, NY New York Marriott at the Brooklyn Bridge

Complete Dermal Filler Training	$1,399.00 remove
Oct 02 2021 Atlanta, GA Westin Peachtree Plaza

PRP Training for Aesthetics	$1,299.00 remove
Feb 14 2022 Dallas, TX The Westin Dallas Downtown

Dermatology Procedures for the Primary Care Practice	$1,299.00 remove
Feb 26 2022 -Feb 27 2022 Fort Lauderdale, FL GALLERYone - a DoubleTree Suites by Hilton Hotel

Botulinum Toxin Training	$1,399.00 remove
Aug 06 2022 Charlotte, NC Springhill Suites Marriott Charlotte Uptown

Body Contouring Injectables & Adjunct Procedures	$1,499.00 remove
Sep 26 2022 Orlando, FL Signia by Hilton Orlando Bonnet Creek

Advanced Botox and Dermal Fillers (Level II)	$1,399.00 remove
Oct 30 2022 Philadelphia, PA The Warwick Rittenhouse Square

Master Nose Injection Training	$1,399.00 remove
Oct 17 2022 New York City, NY New York Marriott Downtown

Advanced Lip Filler Injection Techniques	$1,499.00 remove
Jan 29 2023 New York City, NY Long Island Marriott

Hormone Pellet Training and Therapies	$699.00 remove
Apr 30 2023 Empire-Virtual-Training LiveStream / Online Training

Sub-Total: $23,182.00
(-) Discount: $200.00
remove all discount / vendor code Total Amount Due: $22,982.00

1 - Customer Information

First Name:

Last Name:

Medical Title:

Email Address:

Telephone:

Are you a Practice Owner?:

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

CONSUMER AUTHORIZATION FOR DIRECT DEPOSIT VIA ACH

I (we) hereby authorize EMPIRE MEDICAL TRAINING, INC to electronically debit my account as follows at the depository financial institution named below. I (we) agree that ACH transactions that I (we) authorize comply with all applicable law.

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
(2.5% Covenience fee)

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.