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cant must be (1) retired or self-employed, or working where there are tine or fewer employees, and (2) in reasonably good' health. This program is for persons who are not eligible for group cdverage, and who are not now enrolled in Blue CrosaBlue Shield. JOIN NOW—Enrollment Period October 15—November 15 * Enrollment for the Senior Citizen program will be from October 15 to November 15. Membership in the program is on an individual basis—separate applications are required for husband and wife. Application blanks are available at your meal Blue Cross-Blue Shield district office, hospital or doctor’s office. *MAILTHIS COUPON FOR DETAILS *If you have parents, other relatives, or friends who are 65 or over, we suggest you clip and mail this coupon for them. Mall to: Blue Cross-Blue Shield 4010 W. Broad St., Kichmond 30, Va. I am interested in the Blue Cross-Blue Shield SENIOR CITIZEN Contracts. NAME- ACE_ ADDRESS__ CITY,., __STATE If Married, . Name of Spouse ACE I understand that this does not obligate me in an) way. | f: 1 %
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