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SEG Enrollment Form
If you are interested in having your company added to the Credit Union's Field of Membership, please provide the following information.
First Name: *
Last Name: *
Company Name: *
Suite / Apt.: *
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Telephone Number: *
Email Address: *
Number of Employees: *
Distance from the Credit Union: *
Field of Membership (all employees, employees in particular office, employees and volunteers, etc.)
I certify that the above information is correct to the best of my knowledge and that I have signing authority for this company or organization.
After submitting this, you will be contacted by the next business day to verify this request and may be required to supply additional information before the credit union can fulfill your request.
Image verification text(case sensitive):
Fields are required.