Your Registration

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


Empire End of the Year Celebration	$149.00 Memorial Day Discount Applied remove
Dec 07 2019 New York City, NY The Westin New York at Times Square

Botulinum Toxin Training	$1,299.00 Memorial Day Discount Applied remove
Aug 15 2020 Phoenix / Scottsdale, AZ Hotel to be announced

Thread Lift Training II	$999.00 Memorial Day Discount Applied remove
Jun 14 2020 Empire-Virtual-Training LiveStream / Online Training *** This is an add-on workshop, be sure you have attended our PDO Thread Lift Taining (Level I) workshop before register.

Advanced Lip Filler Injection Techniques	$1,399.00 Memorial Day Discount Applied remove
May 09 2021 Orlando, FL Hilton Orlando Lake Buena Vista

Advanced IV Therapies	$1,399.00 Memorial Day Discount Applied remove
Mar 27 2021 New York City, NY Intercontinental NEW YORK Times Square

Botulinum Toxin Training	$1,299.00 Memorial Day Discount Applied remove
Sep 11 2021 Austin, TX The Westin Austin Downtown

Botulinum Toxin Training	$1,399.00 Memorial Day Discount Applied remove
Jun 25 2022 Los Angeles, CA Marriott Anaheim

Complete Dermal Filler Training	$1,599.00 Memorial Day Discount Applied remove
Jan 21 2023 Orlando, FL Orlando World Center Marriott

Complete Dermal Filler Training	$799.00 Memorial Day Discount Applied remove
Sep 10 2023 Empire-Virtual-Training LiveStream / Online Training

Botulinum Toxin Training	$1,599.00 Memorial Day Discount Applied remove
Nov 18 2023 Orlando, FL Signia by Hilton Orlando Bonnet Creek

Sub-Total: $11,940.00
(-) Discount: $200.00
Clear Cart discount / vendor code codes cannot be combined. Use only one per order. Total Amount Due: $11,740.00

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

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)

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3 - Billing Information

Address:

Address 2:

City:

Country:

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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.