Select Employee Group Application

Thank you for your interest in becoming a Select Employee Group (SEG) at Revity FCU! Please fill out the application below and our team will be in touch with you within 1 business day. Should you have any questions concerning this application, please email marketing@revityfcu.org.

Mailing Address(Required)
Contact Person(Required)
This Company is a(Required)

Date Company was formed(Required)
Are you associated with another credit union as a SEG?(Required)
Date(Required)
This field is for validation purposes and should be left unchanged.