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AML/Compliance Training
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LOMA
Contact Us
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About LIMRA
Membership
Global Membership
International Affiliate Membership Application
Company Information
Company Name
Street Address (line 1)
Street Address (line 2)
City
Postal Code
Province
Country
Telephone Number
Website Address
Date Founded
Mailing Address (if different)
Street Address (line 1)
Street Address (line 2)
Street Address (line 3)
City
Postal Code
Province
Country
What is your type of organization?
Broker
Agency
Wealth Management/Investment Firm
Bank
Other (Please specify below)
Other
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
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
Submit
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If you have any questions, please contact
global@limraloma.com
.