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Select Employee Group Information Form

Thank you for your interest in Congressional FCU membership. Please complete the below form and we will contact you with additional membership information.

All information is required.

  Organization Information:

Name of Organization:

Type of Organization:
Where are you located ( City, State)?:

Requesting membership for the following Individuals: (select all that apply)

 Employees
Members
Volunteers
Other		  
Description of "Other", if selected above

Requesting membership for how many individuals:

Nature of Business:

Are your employees eligible for membership at another credit union?:

  Contact Information:

Primary Contact:

Title:

Phone Number:

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E-mail Address:

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 Verification Code:  
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