Global Membership Application

Membership Type

Elite

This is the best choice and value for companies that use or are considering using both LIMRA and LOMA solutions and services - includes a credit towards a new purchase of assessments and training.

Membership with easy access to all member benefits from both LIMRA and LOMA.

All the same valuable benefits you've come to expect from LIMRA.

Please choose membership type Elite Integrated Distribution Advancement

Mailing Address (if different)

Street Address (line 1)

Street Address (line 2)

Street Address (line 3)

City

Postal Code

Province

Country

Is your company a multi-national company?

Yes No

If your company is multi-national, what is the name of your parent company?

Who in your company will be our primary contact?

First/Given Name

Last/Family Name

Title

Email Address

Phone Number

Who in your company should receive the membership invoice?

First/Given Name

Last/Family Name

Title

Email Address

Phone Number

What type is your company?

Life Insurance General Insurance Retirement Health Insurance Reinsurance

What types of products does your company sell?

Individual Insurance Group Life Health Pension/Superannuation/Defined Benefit Retirement Plans Defined Contribution Retirement Plans Annuities Property & Casualty/Fire & Casualty Commercial Other (Please specify below)

Other

What is your primary distribution system?

Career Agent (tied Agent/Direct Sales Force) Brokerage Independent Financial Advisor Direct to Consumer Bancassurance Other (Please specify below)

Other

What are your secondary distribution systems?

Career Agent (tied Agent/Direct Sales Force) Brokerage Independent Financial Advisor Direct to Consumer Bancassurance Other (Please specify below)

Other

Your membership entitles your company to receive many valuable benefits, please let us know who the Senior Executives responsible for the following areas are in your company.

What is the name and contact information for your chief executive officer?

First/Given Name

Last/Family Name

Title

Email Address

Phone Number

What is the name and contact information for your chief marketing officer?

First/Given Name

Last/Family Name

Title

Email Address

Phone Number

What is the name and contact information for your chief research officer?

First/Given Name

Last/Family Name

Title

Email Address

Phone Number

What is the name and contact information for your chief selection/recruitment officer?

First/Given Name

Last/Family Name

Title

Email Address

Phone Number

What is the name and contact information for your chief distribution officer?

First/Given Name

Last/Family Name

Title

Email Address

Phone Number

What is the name and contact information for your chief human resources officer?

First/Given Name

Last/Family Name

Title

Email Address

Phone Number

What is the name and contact information for your chief agent and field management development officer?

First/Given Name

Last/Family Name

Title

Email Address

Phone Number

Once your membership is fully processed (membership dues have been paid), can we announce your membership on social media (LinkedIn, Facebook, Twitter)? Yes No

Global Membership Application

Membership Type

Elite

Integrated Membership

Distribution Advancement Membership

Company Information

Mailing Address (if different)

Is your company a multi-national company?

Who in your company will be our primary contact?

Who in your company should receive the membership invoice?

What type is your company?

What types of products does your company sell?

What is your primary distribution system?

What are your secondary distribution systems?

Your membership entitles your company to receive many valuable benefits, please let us know who the Senior Executives responsible for the following areas are in your company.

What is the name and contact information for your chief executive officer?

What is the name and contact information for your chief marketing officer?

What is the name and contact information for your chief research officer?

What is the name and contact information for your chief selection/recruitment officer?

What is the name and contact information for your chief distribution officer?

What is the name and contact information for your chief human resources officer?

What is the name and contact information for your chief agent and field management development officer?