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Message From the President

For Doctors: 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 to the above terms

 

 

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