Request Membership Application

Just enter your own information below if this is a request for yourself.
You may also print out this form and mail, fax, or drop it at the credit union office.
If this is a referral, enter your referral's contact information, but please include your name and e-mail address.

This form is a request for a Membership Application, it is not the actual application. When we receive your information we will send you the Membership Application to sign. Your signature, proof of identification and a $5.00 deposit are required for your membership to be activated.

Your Name
Your Address
City
State
Zip
Your E-mail
Your Phone
Referral's Name
Referral's Address 
City  
State 
Zip
Day Phone (10 digit)
Referral's E-mail 
Eligible for Membership
as a Result of
(Check One)

 Work at Select Employee Group (SEG)

 Family Member
 Student of Princeton University

Family Member's Name 

Privacy Statement
All information entered on this site will be kept confidential. It will not be disclosed to others outside Princeton Federal Credit Union and will be used exclusively for the purpose intended. Only authorized Princeton Federal Credit Union employees who are trained in the proper handling of member/owner information will have access to this information.