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)

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Address *

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City *

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eCheck / ACH

No Processing Fee

Credit Card

3% Fee ($4,244.46)

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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) *

Card Type *

Card Number *

Expiration Month *

Expiration Year *

CVV *

Order Summary

AAOPM Custom - 4 Workshops

− 3 + × $4,757.00

Remove

$14,271.00 $6,796.00

AAOPM Custom - 5 Workshops

− 3 + × $5,097.00

Remove

$15,291.00 $8,495.00

Botulinum Toxin Training

Mar 09, 2025
Birmingham, AL

− 80 + × $1,399.00

Remove

$111,920.00 $1,599.00

Subtotal $141,482.00

Total $141,482.00

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