Payroll Deduction Authorization for Annual Memberships

Please submit the form below to renew your annual Recreation Department membership and authorize payroll deduction. If you have questions about your annual membership or payroll deduction, please email recreation@virginia.edu or call the Recreation Department Business Office at 434-924-3791.

 Business Office hours are:

 Monday – Friday, 9am – 5:00pm.
Membership Type
**Only the Annual membership option is eligible for payroll deduction**
Are you nine-month faculty?
Who are you purchasing a membership for?