Address and Contact Information

Education and Training

Continuing Education and Training

BOTOX and Dermal Fillers Experience

Annual Payment Information

Levels of Accreditation:

Membership: $450

Fellowship: $499

Mastership: $499

Diplomate: $499

If paying by check, please make payable to INTERNATIONAL ACADEMY OF FACIAL AESTHETICS and mail to the address below. Your application will be complete once we receive both your form and check payment.

17501 Biscayne Boulevard, North Miami Beach, FL 33160

If paying online by credit card, please continue after submitting this form, you will be directed through the secure credit card payment process.

​I understand that I have the option to print this form, sign, and fax to (305) 938-5018. By submitting online, I am authorizing the Internatioonal Academy of Facial Aesthetics to process my application for the selected Levels of Accreditations. If paying by credit card, I understand that membership will be renewed every 12 months from the date of joining and automatically charged to my credit card on file. I understand that I can call to cancel at any time and a prorated refund will be offered.