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

$1,500.00
Spring Discount Applied

$849.00
Spring Discount Applied

$1,500.00
Spring Discount Applied

$1,599.00
Spring Discount Applied

Total Amount Due: $5,448.00

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1 - Customer Information

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Email Address:

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Are you a Practice Owner?:

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2 - Payment Information

eCheck Payment

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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.

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(3.0% Covenience fee)

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3 - Billing Information

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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.

Amount to be charged: $5,448.00 + $163.44 Credit Card Convenience Fee