JoinNow - My SCCA

SCCA Membership Application

The SCCA Membership fee is a one time payment only. SCCA members enjoy the convenience of making a single payment for their entire tenure as a SCCA member. If you are in your first or second year, the fee is $100 CAD. If you are in your third or fourth year, the fee is $50 CAD.

Please note: If you are a student from the Canadian Memorial Chiropractic College (CMCC), please do not sign up using this form. Contact us at [email protected]

Personal Information
Primary Address
Alternative Address
School Information
Payment Information

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Personal Information

Title*

First Name*

Middle Name

Last Name*

Preferred Phone (Cell Phone)*

Personal Email*

Date of Birth*

Preferred Language*

User Name*

Password*( i.e : Password length must be 8 digit)

Confirm Password*

Preferred Address

Preferred Address*

Preferred City*

Preferred Country *

Preferred Province/State*

Preferred Postal/Zip Code*

Alternative Address

We want to be sure you can always access the latest information from the SCCA to help you succeed as a student and in your practice. If you are listing an address outside of Canada, please let us know if you also have an alternative address where we can reach you.

Secondary Address

Secondary Country

Secondary Province/State

Secondary City

Secondary Postal/Zip Code

School Information

Chiropractic College *

School Email*

Planned Graduation Year*

Year of Study*

Where do you plan to practice after graduation? (Country/State or Province)*

Preferred Email*

Verification Code*

I consent to receive newsletters from the SCCA via email. I understand I can unsubscribe any time. *

I consent to receive messages from the SCCA via SMS.

I have read and accepted the "Terms and Conditions" and "Membership Terms and Conditions".*

I have read and accepted the SCCA Member Declaration.*

Payment Information

Country*

Street Number*

Street Address*

Town / City*

State / Province*

Postal code / ZIP*

Credit Card/Debit Card

Pay securely using your credit card or Visa/Mastercard debit card

Card Number*

Expiration Date*

Card Security Code *

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membership details

All amounts shown are in Canadian Dollars

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SCCA Membership

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