Plus Plan Enrollment Please enable JavaScript in your browser to complete this form.In which market are you enrolling? *ChesterfieldSpringfieldNorth SpringfieldOzarkWebster GrovesHave you ever received decompression treatment at an IMAC Regeneration Center? *YesNoName *FirstLastEmail *Phone *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePlus Plan Monthly Recurring Membership *Price: $ 95.00I agree to annual enrollment with IMAC Regeneration Center for the Plus Plan described. I acknowledge and understand that my agreement to the fees listed is based on annual assessment of pricing. My annual fee is non-refundable and is not dependent on cancellation of any or all services. Annual Membership Fee will be due at time of initial examination.Credit Card Details *CardName on CardUnfortunately, You don't qualify for this plan. Please select a different plan or contact us for more informationNameSign Me Up!
