CONTRACT NUMBER: DATE OF ISSUE:Variable Annuity Contract • April 23rd, 1997 • Variable Annuity Life Insurance Co Separate Account A
| [LOGO] VALIC THE VARIABLE ANNUITY LIFE | | ----------------------------- INSURANCE COMPANY MASTER APPLICATION FORM | | * An American General Company P.O. Box 3206 Houston, Texas 77253-3206 | -------------------------------------...Master Application Form • April 23rd, 1997 • Variable Annuity Life Insurance Co Separate Account A
