5)(c) Application for the Glenbrook ____________ Variable Annuity Contract GLENBROOK ________________ VARIABLE ANNUITY (FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY) Issued by: Glenbrook Life and Annuity Company PO Box 94042, Palatine, Illinois 60094...Variable Annuity Contract • December 15th, 2000 • Glenbrook Life Multi-Manager Variable Account
