MSCA Political Action Committee (PAC)

2006-2007 PAC Application

Click here to download this application as a PDF file

Membership Year:  July 1, 2007 - June 30, 2008

Please fill-out, print and mail to:

MSCA PAC
220 E. Dunklin
Jefferson City, MO 65101

Select MSCA PAC Membership Level

Select One Ambassador $1000 Diplomat $500 Emissary $250 Regular $120

Ambassadors are a prestigious group of chiropractic physicians committed to the advancement of chiropractic. Ambassadors are invited to two special political events each year - one event in Kansas City and the other in St. Louis.

$250 Quareterly / $1000 Annually

Diplomats are special chiropractic physicians committed to chiropractic and willing to sacrifice for its advancement, but are not financially comfortable with an ambassador commitment.  Diplomats are invited to one special political event.

$125 Quarterly / $500 Annually

Emissary members are chiropractic physicians who represent the advancement of chiropractic and strive to help the profession.  These members generally sacrifice more time and energy to promote chiropractic.

$62.50 Quarterly / $250 Annually

Regular members are chiropractic physicians who are striving to help the chiropractic profession, but are not financially comfortable with the ambassador, diplomat, or emissary levels.  These members generally sacrifice more time and energy to promote chiropractic.

$30 Quarterly / $120 Annually

After you have paid your annual PAC membership, purchases at any PAC-sponsored event apply toward reaching the next higher level of membership.  Certain individual political contributions may also apply toward reaching the next level of membership.  MSCA membership is not required to become a PAC member.

Method of Payment: Select One Annual (check or credit card) *Semi-Annual (credit card) *Quarterly (credit card)

Method of Payment:  Convenient payment plans are available.  Dues can be automatically charged to your credit card semi-annually or quarterly.

*Important:  For your convenience, automatic credit card charges continue annually.  You may call to cancel at any time.

Charge $ ________to my Visa MasterCard Discover

Make checks payable to MSCA PAC.

MCSA Partners:

Bank of America