Thank you for registering for the Radiographic Technician Program
Terms: I authorize Illinois Prairie State Chiropractic Association to debit the account listed hereon $265.00, & agree to perform the issuer obligations. I affirm that the name and personal information provided on this form are true and correct and further declare that I have read, understand and accept Illinois Prairie State Chiropractic Association Terms as referenced in the [Terms of Use] link below.