Group Annuity Contract Application Sample Contracts

APPLICATION (Consisting of Parts A and B)
Group Annuity Contract Application • November 25th, 1998 • Separate Account a of Equitable Life Assu Soc of the Us
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Unallocated Registered Variable Contract Application, Acceptance, & New Business Agreement
Group Annuity Contract Application • March 7th, 2008

I/We have appropriately acted on behalf of my/our client(s) by reviewing all the points in this disclosure. I/We believe that the information provided is true and accurate to the best of my/our knowledge. (If more than one Registered Representative, each must sign, date, and legibly print name.)

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