Maine Chiropractic Assistant Association 
Membership Application
The Maine Chiropractic Assistant Association is very excited and optimistic about the upcoming merger with the Maine Chiropractic Association! While we patiently wait for this process to transpire, we are eagerly working to improve our association by increasing the number of members and their participation. We ask our Maine chiropractors to encourage your chiropractic assistants to be active members of our great association.
Please list below all Chiropractic Assistants in your office and answer the respective question. Any C.A. who is not in good standing with the MCAA loses his/her voting privileges until outstanding dues are paid in full. 
For all MCAA members with up to date dues paid, there will be a discount offered for seminars. The 2018 spring seminar at the Samoset will be offered to MCAA members for $29, which is reduced from the registration fee of $99.  
We ask that you pay the annual membership fee of $30.00 per C.A. by the February 23, 2018. 

Doctor’s Name: __________________________________Phone number: __________________________
Office name & address: ___________________________________________________________________
CA Name: _________________________________________ Email: __________________________________________  Status:    renewal     new member		Certified?  YES/NO      		Enrolled in CA course: YES/NO     
CA Name: _________________________________________ Email: __________________________________________  Status:    renewal     new member		Certified?  YES/NO      		Enrolled in CA course: YES/NO     
CA Name: _________________________________________ Email: __________________________________________  Status:    renewal     new member		Certified?  YES/NO      		Enrolled in CA course: YES/NO    
 CA Name: _________________________________________ Email: _________________________________________  Status:    renewal     new member		Certified?  YES/NO      		Enrolled in CA course: YES/NO     
CA Name: _________________________________________ Email: __________________________________________  Status:    renewal     new member		Certified?  YES/NO      		Enrolled in CA course: YES/NO     

Please make check payable to: MCAA
Mail to: Caroline Christianson   1223 US Route 202 Winthrop, ME 04364
If you have any questions, please call 207-377-9344 or email caroline@fullcirclemaine.com