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


Sexual Dysfunction Training for Men and Women	$1,099.00 Discount already applied!
Apr 30 2021 New York City, NY The New Yorker A Wyndham Hotel

Body Contouring Injectables & Adjunct Procedures	$1,299.00 Discount already applied!
Jun 20 2021 Chicago, IL Embassy Suites - Magnificent Mile

Botulinum Toxin Training	$1,299.00 Discount already applied!
Mar 27 2022 New York City, NY The Westin New York at Times Square

Sculptra Aesthetic Injection Training	$1,299.00 Discount already applied!
Jul 10 2022 New York City, NY Jay Suites Fifth Avenue

Advanced Botox and Dermal Fillers (Level II)	$1,299.00 Discount already applied!
Jan 22 2023 Orlando, FL Orlando World Center Marriott

empty cart Registration: $6,295.00 Credit Card Convenience Fee: $188.85 Total Amount Due: $6,483.85

1 - Customer Information

First Name:

Last Name:

Medical Title:

Email Address:

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Are you a Practice Owner?:

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Name of Account Rep who guided you, if any:

2 - Payment Information

eCheck Payment

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Account Number:

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 AAOPM, INC. in writing at the following:

AAOPM, 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.

Name(s):

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eSignature: (Please type your full name)

Credit Card Payment
(3% Convenience fee ($188.85))

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3 - Billing Information

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I acknowledge that I have read and agree with the AAOPM terms of service, privacy policy, and cookie policy. California courses attendees: In order to inject during hands-on sessions, you need to be licensed to inject in California.

Amount to be charged: $6,483.85