Hawaii State Chiropractic Association

1) Check - make payable to HSCA and mail to P. O. Box 22668, Honolulu, Hawaii 96823.

2) Credit Cards - MasterCard, Visa, American Express or Discover

Or fax the following information to 1-803-356-6826

Card Number_________________________________________

Expiration date_____________________

Billing address of card__________________________________

Name on card________________________________________

Signature____________________________________________

Please select a member type to continue your registration

	Regular

	First Year Hawaii Resident

	Lifetime
			“Lifetime members are general members sixty-five (65) years of age and older [who have been members in good standing for the two consecutive years prior to eligibility]. Life members shall be exempt from paying dues to the HSCA and shall have all the rights and privileges of general members.”
	Corporate / Business

	Auxiliary

	Retired
			No longer in practice
	Student

	Out of State