0000950137-07-006175 Sample Contracts

ULTRA SERIES FUND RULE 22C-2 SHAREHOLDER INFORMATION AGREEMENT

Shareholder Information Agreement • April 27th, 2007 • Cuna Mutual Life Variable Annuity Account

• Contract Type
  Shareholder Information Agreement
• Filed
  April 27th, 2007
• Company
  Cuna Mutual Life Variable Annuity Account

OPTIONAL - COMPLETE ONLY ONE 3A. OWNER-INDIVIDUAL NONQUALIFIED ONLY If other than annuitant/owner. Relationship to Must be at least age 18 (19 in NE & AL, 21 in MS) and no older than age 85 Annuitant ________________________ on the contract issue date.

Variable Annuity Application • April 27th, 2007 • Cuna Mutual Life Variable Annuity Account

• Contract Type
  Variable Annuity Application
• Filed
  April 27th, 2007
• Company
  Cuna Mutual Life Variable Annuity Account