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About ISCA For Patients For Doctors Classifieds



 



Become An ISCA Member

Joining is easy! Just fill out the online application or download our application.
Personal Info
Salutation
First
Middle
Last
Suffix
Clinic Name      
Office / Mailing Address      
City   State Zip  
 
Phone   Fax    
 
Email        
     
Practice Info
Chiropractic College Graduation Date
Indiana License # Date Started Practice in Indiana
Recommended By  
 
 
Student ($10 annually)      

Out of State of Out of Profession ($100 annually)

  Contributing ($100 annually)

1st Year in Practice ($100 annually)

2nd Year in Practice ($280 annually/$70 quarterly)

  3rd Year in Practice ($360 annually/$90 quarterly)

4th Year in Practice ($500 annually/$125 quarterly)

5th Year in Practice ($600 annually/$150 quarterly)

Terms and Conditions
Upon completion of this form and payment of my first quarter dues, I apply for Membership in the ISCA. I understand my application is subject to approval by the Board of Directors.
I agree

 
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