Request Membership Information

Request Membership Information
Thank you for your interest in membership at Farmington Country Club. Please fill out the form below and our membership team will be in contact with you soon.
Name*

First NameLast Name
Email*
example@example.com
Primary Phone Number*
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Membership Information Requested*

ResidentNationalGraduate Student
What City and State do you reside in?*
Please Select Your Age Range*

21-3435-3940+
Do you have a child attending UVA?*

YesNo
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