AAOPM - Credit Card Registration

Order Summary

Sclerotherapy for Physicians & Nurses

Jan 30, 2026

Chicago, IL

The Westin Michigan Avenue Chicago

$1,299.00

Discount applied

Complete Dermal Filler Training

Jan 31, 2026

Puerto Rico

AC Hotel San Juan Condado

$1,299.00

Discount applied

Empire Clinical Fellowship: The Business of Neurotoxins

Mar 21, 2026

Pace, FL

Empire Pace, FL Center of Excellence

$3,799.00

Discount applied

Registration: $6,397.00

Credit Card Fee (3%): $191.91

Total Amount Due: $6,588.91

Empty cart Add more workshops

1 Customer Information

First Name *

Last Name *

Medical Title

Email Address *

Telephone *

Are you a Practice Owner?

State License #

Account Rep (if any)

2 Payment Information

A 3% convenience fee ($191.91) will be added to credit card payments.

Card Type *

Card Number *

Exp. Month *

Exp. Year *

CVV *

3 Billing Information

Address *

Address 2

City *

Country *

State

Zip Code *

4 Review & Submit

I acknowledge that I have read and agree with the AAOPM terms of service, privacy policy, and cookie policy.

Amount to be charged: $6,588.91

6,588.91

Credit Card Payment