AAOPM - Credit Card Registration

Order Summary

Botulinum Toxin Training

Apr 18, 2026

Empire-Virtual-Training

---

$699.00

Discount applied

Hormone Pellet Training and Therapies

Mar 07, 2026

New York City, NY

Hotel to be announced

$1,449.00

Discount applied

Registration: $2,148.00

Credit Card Fee (3%): $64.44

Total Amount Due: $2,212.44

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 ($64.44) 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: $2,212.44

2,212.44

Credit Card Payment