Lincoln --------------- Financial Group Enrollment/Change Request & Salary Reduction Agreement The Lincoln National Life Insurance Company Variable Annuity PO Box 9740 Portland ME 04104-5001 Phone 800 341-0441Enrollment/Change Request & Salary Reduction Agreement • April 26th, 2000 • Lincoln National Variable Annuity Acct L GRP Var Annuity Ii
---------------------------------------------------------------------------------------------------------------------------------- Authorization and By signing below, you certify that you have read, understand and agree to the terms of the Salary Signatures Reduction Information and Agreement sections on this form and have received an Active Life Certificate. The signature of the employer authorized representative certifies that he/she also agrees to the Salary Reduction Information section.
