Join NAVA
Membership Application

* Required Field

*First Name:  Middle:  *Last: 
 Title:
*Company
 Street Address:
 City: State: Zip:
*Telephone: Fax:
*Email:

Type of Organization:

Legal Reserve Insurance Co.  (Total VA Assets )
Broker/Dealer
Law Firm
Asset Management Company  (Total VA Assets )
Financial Institution / Bank
Actuarial Consulting
Research and Data Company
Marketing Company
Admin. / Operations Services
Other  

Total Number of Employees:  

Additional Information/Remarks:

I hereby make application for membership in the
NAVA.
Please process our application.
We understand that we will be invoiced for our NAVA dues.