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Premier Partner Membership Information FormJessica Whitehair2019-12-27T12:29:11-06:00

Premier Partner Membership Information Form

Step 1 of 4

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Main contact information
Company Name*
Main Contact Name*
First Last
Title*
Email*
Address*
Street Address City State ZIP Code

Who should we contact for the following?
Membership renewal
Membership renewal contact
- Same as main contact
Name*
First Last
Title*
Email*
Coordination of email blasts
Coordination of email blasts contact
- Same as main contact
Name*
First Last
Title*
Email*
Sponsorship opportunities for NAFA conferences
Sponsorship opportunities contact
- Same as main contact
Name*
First Last
Title*
Email*
NAFA speaker at your event
NAFA speaker at event contact
- Same as main contact
Name*
First Last
Title*
Email*

Please check the following ways you would be willing to participate with NAFA
Committee member
- Select All
- Government & Legal Affairs Committee
- Education Committee
- Membership Committee
Check all of interest
Board member
- Position
Webcast support
- Host or co-host a NAFA webcast
- Provide content for a NAFA webcast
Government & Legal Affairs Committee Name*
First Last
Title*
Email*
Education Committee Name*
First Last
Title*
Email*
Membership Committee Name*
First Last
Title*
Email*
Board Member Position Name*
First Last
Title*
Email*
Webcast Support Name*
First Last
Title*
Email*

About NAFA

NAFA, the National Association for Fixed Annuities, is the premier trade association exclusively dedicated to fixed annuities. Our mission is to promote the awareness and understanding of fixed annuities. We educate annuity salespeople, regulators, legislators, journalists, and industry personnel about the value of fixed annuities and their benefits to consumers.

Contact Us

1717 Pennsylvania Ave NW, Suite 1025
Washington, D.C. 20006
p. 414.332.9306
f. 415.946.3532

Mail Payment Submissions to:
NAFA, ICO O’Leary & Anick
13400 Bishops Lane, Suite 120
Brookfield, WI 53005

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