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

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)
This field is for validation purposes and should be left unchanged.