Checkout - AAOPM

Customer Information

First Name *

Last Name *

Medical Title

Email Address *

Phone Number *

Are you a Practice Owner?

State License #

Account Rep (if any)

Billing Address

Address *

Address Line 2

City *

State *

Zip Code *

Country

Payment Method

eCheck / ACH

No Processing Fee

Credit Card

3% Fee ($3,050.04)

Account Type *

Bank Name *

Routing Number *

Account Number *

Name on Account *

By providing your bank account information, you authorize AAOPM to debit your account for the amount shown.

eSignature (Type your full name) *

When you submit this form we will take you to our secure payment page to complete your registration. Your card details are handled by our payment provider and are never stored on this site.

Order Summary

Complete Facial Aesthetics

Mar 26, 2027
Austin, TX

− 15 + × $1,999.00

Remove

$29,985.00

Empire Live Mentor

Nov 16, 2026
Empire-Virtual-Training

− 15 + × $149.00

Remove

$2,235.00 $199.00

Sexual Dysfunction Training for Men and Women

Mar 07, 2027
Empire-Virtual-Training

− 15 + × $849.00

Remove

$12,735.00

ACP & Biologics for Pain Management Training

Mar 21, 2027
Empire-Virtual-Training

− 15 + × $849.00

Remove

$12,735.00

Neck & Hands Rejuvenation Master Course: Combination Therapies with Toxins, Fillers, Biostimulators, Exosomes & Lasers

Mar 14, 2027
Puerto Rico

− 22 + × $1,999.00

Remove

$43,978.00

Subtotal $101,668.00

Total $101,668.00

I agree to the Terms & Conditions and Privacy Policy

Secure SSL Encrypted Checkout

Clear Cart + Add More Courses