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IFCO

International Federation of Chiropractors and Organizations

Vertebral Subluxation Correction...Nothing More...Nothing Less...Nothing Else

IFCO Membership Application

Posted on 04 Mar 2013 0 comments

IFCO International Federation of Chiropractors and Organizations

Membership Application

 

Please fill out the form below

- or -

Print out the PDF available here and mail it to us.

Title

Name (required)

Office Address (required)

City (required)

State (required)

Zip Code (required)

Country (required)

Would you like your office listed in our Find a Doctor database? (For DC Ruling Members only)

*This is a member benefit. Listings will be removed for failure to pay membership dues.
Yes No 

Office Website

Email (required)

Phone (required)

Fax

Date of Birth

Gender

 

Practice & Educational Information

Please provide the following information.

Chiropractic College Graduated From

Graduation Year (or expected graduation date)

State(s) Licensed In

Referred By

List Organizations To Which You Belong

I can contribute to the IFCO and my fellow members in the following way(s):

 New member referral Public speaking Legislative contact Writing articles Committee work Mentoring Marketing/Public Relations Other

 

Membership Classifications

 

Membership Level:

 

IMPORTANT NEXT STEP TO COMPLETE APPLICATION


Your membership application is not yet complete. After clicking "SUBMIT INFORMATION", please enter your membership level once more and proceed to our secure payment processing system. If you have any problems or questions, please call our office at 800-521-9856. Thank You.

 

 

(IMPORTANT! Click the “SUBMIT INFORMATION” button above before proceeding.)

Part 2 – Membership Application

Ruling Membership Classifications

 

Select One:

* Please note that membership for a 1st year DC conversion from Student membership is Free. Your application is complete. All others please proceed.

Payment

 

Please note when you click the ‘Step 2 – Payment’ button your ‘registration’ will be sent to our office and you will be connected to our secure payment processing system. If you have any problems or questions, please call our office at 800-521-9856.
Thank You.