Your Registration

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


Complete Facial Aesthetics	$1,299.00 Memorial Day Discount Applied remove
Oct 27 2017 Las Vegas, NV The Platinum Hotel & Spa

Botulinum Toxin Training	$1,349.00 Memorial Day Discount Applied remove
Apr 04 2020 Philadelphia, PA Hotel to be announced

Thread Lift Training II	$1,299.00 Memorial Day Discount Applied remove
Oct 25 2020 Fort Lauderdale, FL GALLERYone - a DoubleTree Suites by Hilton Hotel *** This is an add-on workshop, be sure you have attended our PDO Thread Lift Taining (Level I) workshop before register.

IV Nutrition Therapies Training	$1,399.00 Memorial Day Discount Applied remove
Aug 02 2020 Las Vegas, NV Bally's Las Vegas Hotel and Casino

Meet the Experts - Aesthetics Consortium	$599.00 Memorial Day Discount Applied remove
Aug 29 2020 New York City, NY The Westin New York at Times Square

NCV / EMG	$999.00 Memorial Day Discount Applied remove
Jun 15 2020 Empire-Virtual-Training LiveStream / Online Training

Botulinum Toxin Training	$1,399.00 Memorial Day Discount Applied remove
Mar 07 2021 Chicago, IL Embassy Suites - Magnificent Mile

Complete Dermal Filler Training	$1,399.00 Memorial Day Discount Applied remove
Jan 30 2021 Weehawken, NJ Sheraton Lincoln Harbor Hotel

Botulinum Toxin Training	$1,399.00 Memorial Day Discount Applied remove
Jan 08 2022 Fort Lauderdale, FL GALLERYone - a DoubleTree Suites by Hilton Hotel

Medical Hair Loss Therapy Training	$1,299.00 Memorial Day Discount Applied remove
Feb 14 2022 Dallas, TX The Westin Dallas Downtown

Anti-Aging (Modules I & II)	$699.00 Memorial Day Discount Applied remove
Feb 26 2023 Empire-Virtual-Training LiveStream / Online Training

Sub-Total: $13,139.00
(-) Discount: $200.00
Clear Cart discount / vendor code codes cannot be combined. Use only one per order. Total Amount Due: $12,939.00

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)

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.