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NAPA Leadership Council Nomination Form

Nominator #1 Information

Nominator #2 Information

Nominee's Information

Volunteer Application

Please indicate the Committee Volunteer Pool(s) in which you have an interest in volunteering: (For descriptions of volunteer opportunities, please visit www.napa-net.org/CommitteeDescription)

Asppa Annual

 

Gaylord National Resort & Convention Center

 

 

Collaborate with 1,500 of your peers from every aspect of the retirement plan industry, October 20–23, at the 2019 ASPPA Annual Conference, at the Gaylord National Resort and Convention Center in National Harbor, MD.

Welcome to NAPA!

Membership
Name
Please check one. To see a list of NAPA Firm Partners, visit: www.napa-net.org/about-us/firm-partners
If you chose "Yes" above, please provide the name of the Firm Partner you are affiliated with:
Address
Note: This is the address your certificate will be mailed to, as well as your subscription to NAPA Net The Magazine.
Work
Broker Dealer (if applicable)
Please issue me the
Code of Conduct
Have you been found guilty of a felony, violation of insurance or securities regulations or any violation of the code of ethics of any professional or business organization?
If “Yes”, explain:

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