APPLICATION FORM Aetna Life Insurance and Annuity Company Group Annuity Contracts 151 Farmington Avenue, Hartford, CT 06156-8022 ---------------------- -------------------------------------------------------------------------------...Variable Annuity Acct C of Aetna Life Insurance & Annuity Co • April 13th, 1998
|_| 401(a) for 501(c)(3) Organization (Organizations formed after 10/9/69 must have IRS ruling regarding |_| Other: _____________________ 501(c)(3) status) |_| Retirement Plus |_| Healthcare Retirement Plus
