Select Employee Group (SEG) Application for Affiliation

SEG Application

Select Employee Group (SEG) Application for Affiliation

Company Name

would like to take advantage of your Select Employer Group (SEG) program and provide First Eagle Federal Credit Union (FEFCU) membership to our employees at no cost to us.

Section

Address
Address
City
State/Province
Zip/Postal
Country

If Contact Person is other than HR employee, who is the HR Manager?

Payroll Prepared:
Payroll Provide By:

Would you distribute inserts or flyers on behalf of First Eagle Federal Credit Union (i.e. Open Enrollment or New Employee Orientation)?

Distribute

Thank you for your interest in First Eagle Federal Credit Union
Please Note: This is not a contract between your company and First Eagle FCU.

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