Join FUEL Story County - Fueling & Uniting Engaged Leadership

Membership Application

Chamber Members - $35/year | Non-Chamber Member - $45/year | Student - $30/year
Membership fees are to be paid in full during registration.

Please fill out the form below to register to become a FUEL member!

1Personal Information

2Organization Information

3Additional Information

4Membership Selection & Payment

Additional Information
* denotes a required field
Referred By
How did you hear about us?
What is your reason for joining?
Are you interested in the following committees?
- Leadership & Professional Development
- Community Outreach & Partnerships
- Social
- Marketing

Membership Type & Payment
* denotes a required field

Membership Pricing: Chamber Members - $35/year | Non-Chamber Member - $45/year | Student - $30/year
Membership fees are due once a year from the date of your initial registration. You may select to auto renew your payment yearly if you wish.
Membership Autorenewal?*
- Yes
- No
Membership Type - Automatic Renewal*
Membership Type - One Time Payment*
Total
$0.00
Credit Card*
Card Details
Cardholder Name