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Those who wish to become FCA Members can either Download this PDF Membership Application to mail in a check or Register Online Now below.

I want to be an FCA Member

Thank you for your FCA Membership Application. You will receive a welcome email after your information has been verified and your account has been activated.
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Are you currently a licensed chiropractic physician, actively practicing in the state of Florida?

Yes

Are you currently a student at chiropractic college?

Yes

Are you currently a licensed Chiropractor who is not practicing in the state of Florida?

Yes

Are you employed by a Doctor of Chiropractic?

Yes

CCPA

CRT

AP/DOM/LAc

LMT

Other

Do you work for or own a company that markets to chiropractic physicians?

Yes

When did you receive your License?

Member Fiscal Year : [[ current_billing_s_date ]] - [[ current_billing_e_date ]]

FCA dues are billed in 6 easy bi-monthly installments. A payment of at least 2 bi-monthly dues installments is required during your application.

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Required w/ app.

Yearly Fee

[[ no_dues_text ]] Annual Dues Amount: $[[ yearlyPrice ]] or Required Down payment: $[[ paymentPrice ]] [[ extra_text ]]

Stay Connected with a Complimentary FCA Membership throughout your entire Student Career!

Fill out your information below:

Full Name

Address

City

State

Zip

Company

Office #

Mobile #

Birth Date

Date Licensed

[[ graduate_year_label ]]

Florida Lic #:

Other States Licensed :

Chiropractic College:

Have you ever been an FCA Member or attended an event before?

Yes

Would you like to make a down payment or pay for an entire year?

$[[ paymentPrice ]] ( Bi-Monthly Down payment )

$[[ yearlyPrice ]] ( Full Year )

Card Information:

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