Plus Plan Enrollment Please enable JavaScript in your browser to complete this form.In which market are you enrolling? *BrentwoodMurfreesboroHave 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.CardName on CardUnfortunately, You don't qualify for this plan. Please select a different plan or contact us for more informationWebsiteSign Me Up! Committed to People, Committed to your Future. BOOK APPOINTMENT
