* * * Membership is restricted to Metallica Club members
residing in the state of Virginia * * *
* * * Ineligible applications will be dismissed without reply * * *
If your browser has problems submitting this application,
feel free to E-mail your information to us.
Full Name
Street Address
City
State
Virginia
Zip Code
Phone Number (with area code)
E-Mail Address
What would you like your login name to the members area of the
Virginia Fuel website to be? Keep in mind this will be case-sensitive.
Make sure you remember this! Once you enter
it,
it is encrypted and we can't look it up for you!
What would you like your password to the members area of the
Virginia Fuel website to be? Keep in mind this will be case-sensitive.
Make sure you remember this! Once you enter
it,
it is encrypted and we can't look it up for you!
Metallica Club Membership Number
Metallica Club Expiration Date
Where/How did you hear about Virginia Fuel?
Do you have any special talents or resources
that would be beneficial to the chapter?
What are you looking to get out of Virginia Fuel?
We like to keep a short bio on each member in
the Members Only Area. Please write four or five
sentences that describe you, your interests, etc.
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