Your Registration

Online Registration is only for new customers; if you are an existing member please send an email to [email protected] with your request for registrations. If you have any questions please call 888.998.1297.


PDO Thread Lift Training I & II	$2,199.00 Discount already applied!
Jun 26 2021 Los Angeles, CA Marriott Anaheim

Medical Hair Loss Therapy Training	$699.00 Discount already applied!
Jun 07 2021 AAOPM-Virtual-Training LiveStream / Online Training

PRP Training for Aesthetics	$1,099.00 Discount already applied!
Aug 13 2021 San Antonio, TX Hyatt Regency San Antonio Riverwalk

IV Nutrition Therapies Training	$1,299.00 Discount already applied!
Sep 24 2021 Orlando, FL Orlando World Center Marriott

Advanced Botox and Dermal Fillers (Level II)	$1,199.00 Discount already applied!
Nov 21 2021 Charleston, SC Francis Marion Hotel

Advanced Lip Filler Injection Techniques	$1,299.00 Discount already applied!
Mar 21 2021 Los Angeles, CA Marriott Anaheim

THE Pain Show	$2,999.00 Discount already applied!
Jan 14 2022 -Jan 16 2022 Orlando, FL Signia by Hilton Orlando Bonnet Creek

Botulinum Toxin Training	$1,299.00 Discount already applied!
Jun 18 2022 Charlotte, NC Springhill Suites Marriott Charlotte Uptown

PRP Training for Aesthetics	$1,199.00 Discount already applied!
Mar 20 2023 Los Angeles, CA Hyatt Regency Los Angeles International Airport

Complete Dermal Filler Training	$1,499.00 Discount already applied!
Apr 29 2023 Phoenix / Scottsdale, AZ Wyndham Phoenix Airport/Tempe

PRP Training for Aesthetics	$1,199.00 Discount already applied!
May 21 2023 Berkeley, CA DoubleTree by Hilton Berkeley Marina

Sub-Total: $15,989.00
(-) Discount: $200.00
empty cart Total Amount Due: $15,789.00

1 - Customer Information

First Name:

Last Name:

Medical Title:

Email Address:

Telephone:

Are you a Practice Owner?:

State License #:

Name of Account Rep who guided you, if any:

2 - Payment Information

eCheck Payment

CONSUMER AUTHORIZATION FOR DIRECT DEPOSIT VIA ACH

I (we) hereby authorize AMERICAN ACADEMY OF PROCEDURAL MEDICINE, INC to electronically debit my account as follows at the depository financial institution named below. I (we) agree that ACH transactions that I (we) authorize comply with all applicable law.

Account Type:

Bank (Institution) Name:

Routing Number:

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 AMERICAN ACADEMY OF PROCEDURAL MEDICINE, INC. in writing at the following:

American Academy of Procedural Medicine, 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):

Date:

eSignature: (Please type your full name)

Credit Card Payment
(2.5% Covenience fee)

Card Type:

Credit Card Number:

Expiration Date:

CVV:

3 - Billing Information

Address:

Address 2:

City:

Country:

State:

Zipcode:

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.