ICAC

International Chiropractors Association of California

ICAC Political Action Committee (PAC) (monthly) Subscription

Please enter information on the form below to process subscription for ICAC Political Action Committee (PAC) (monthly).

Username*

Password*

Retype Password *

First Name *

Last Name *

ICAC Sponsoring Member or Organization (if applicable)

Address *

Address2

City *

Zip *

State *

Phone

Fax

Email *

From Which Chiropractic College Did You Graduate?

Doctor License Number *

Date Practice Began

Practice Type

Full-time Practice

Part-time Practice

DEGREES/POSTGRADUATE DEGREES (BA, D.C., Diplomats, Fellowships, QME, etc.)

I hereby agree to the ICAC Bylaws and Code of Ethics, as adopted and as may be adopted from time to time by the Board of Directors. *

Agree

Comment

FEDERAL LAW REQUIRES YOU VERIFY THAT THE FOLLOWING STATEMENTS ARE TRUE AND ACCURATE BY CHECKING THE BOX BELOW. *

I certify that I am making this contribution using my own funds and will not be reimbursed by a corporation. I further certify that I am a U.S. citizen, and that I am not making this contribution using a corporate credit card.

Contribution Amount

Silver Member ($10)

Gold Member ($25)

Payment Information

Payment Terms

$10.00 for each month

Regular subscription price

Regular subscription discount amount

Regular subscription tax

Payment Fee

Regular gross amount

Payment Method

Authorize.net

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

Download Application

Please subscribe to the ICAC using our online system. If you have any issues you can download one of the forms below and mail it back to us as an alternative.

Download pdf

ICAC Seminar and Convention Fees 2024

Zoom (Live Interactive) and Distant Learning

Registration Fees

Zoom Free – Active ICAC Members
$15/unit hour – Non-Members

“One-Day Seminars (Live)” (“brown bagger” events) *

Registration Fees (8-12 hours/day)

$59 – Active ICAC Members
$49 – Early-bird (five days in advance)
$149 – Non-Member
$119 – Early-bird (five days in advance)
$25 – Registration at the door (additional)
*no banquet, no buffet, no food (dismissed for lunch/breaks)

Two-Day Seminars (Live) (“brown bagger” events) *

Registration Fees (12+ hours)

$89 – Active ICAC Member
$79 – Early-bird (five days in advance)
$149 – Non-Member
$119 – Early-bird (five days in advance)
$25 – Registration at the door (additional)

ICAC Convention Fees (includes food service)

Registration Fees (Active ICAC Members)

$79 – one day (Sunday only)
$79 – QME only DWC Medical Unit
$79 – X-Ray Only State Radiologic Health Branch
$89 – ICAC Members (Saturday and Sunday)
$25 – Registration at the door (additional)

Registration Fees (Non-Members)

$149 – one day (Saturday only)
$129 – QME only DWC Medical Unit
$119 – X-ray only State Radiologic Health Branch
$219 – Non-Members (Saturday and Sunday)
$25 – Registration at the door (additional)

Chiropractic College Students, Staff, Spouse

Registration Fees (seminars at convention)

Free – Student ICAC Member up to 3rd year after CA Licensure
$25 – Student Non-Member
$25 – Staff or Spouse
$5 – Registration at the door (additional)

State Mandated Courses for License Renewal

Registration Fees (Same for ICAC Members and Non-Members)

$119 – X-ray only State Radiologic Health Branch
$129 – QME only DWC Medical Unit

QME Industrial Injury Evaluation (I.I.E.) Series

Registration Fees (Same for ICAC Members and Non-Members. This is a State Mandated Course to Become Licensed as a QME)

$1495 – Total Fee (You may pay $747.50 at registration - Total due one week prior to seminar date)
$2995 – Late Registration (less than one week prior to seminar date)