Membership Application | Villages Virginia St

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VIRGINIA STATE CLUB

of The Villages

www.virginiastateclub.com

Meets at 510 Colony Blvd. The Villages, Fl 32162

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The Virginia State Club

Membership Application

First Name

Spouse/Partner name

Last Name

Your Email:

Local Address

Current Florida Village of:

Phone (Local)

Phone (Cell)

Virginia city/town last lived in:

Your information will be in our membership directory and distributed to members. If you DO NOT want to be included in the directory, please opt out here by initialing:

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