Become a Member or Renew Your Membership

Name*
License Number
Practice Name
Street Address*
City*
State*
Zip*
Phone*
Fax
County*
Email*
Years in Practice
Type of Practice
- Solo
- Group
- Associate
What Chiropractic groups do you belong to?
- ICA
- IFCO
- ICPA
- ACA
Chiropractic College
Year Graduated
Product Name
Dues Category
- First 2 years in practice $200 yearly
- Over 2 years in practice $500 yearly
- Part Time Practitioner (16 Hours or Less) $250 yearly
- Student / C.A. / Retired D.C. / Out-of-state D.C $25 yearly
Payment Instructions*
- I will mail a check for my full dues payment
- Please invoice me for the full amount
- I will download and send the credit card authorization
Please select your payment option above, then click "Submit". Thank you for your interest and support.
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Email
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Chiropractic Fellowship of Pennsylvania
908 N. Second Street
Harrisburg, PA 17102
717-441-6042
info@chirofellowpa.org