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cant must be (1) retired or self-employed, or working where there are nine or fewer employees, and (2) in reasonably good health. This program is for persons who are not eligible for group coverage, and who are not now enrolled in Blue CroeaBlue Shield. JOIN NOW—Enrollment Period October 15—November 15 Enrollment for the Senior Citizen program w ill 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 local Blue Cross-Blue Shield district hospital or doctor's office. •MAILTHIS COUPON FOR DETAILS *lf you have parents, other relatives, or friends who are 65 or over, we suggest you clip and mail this coupon for them.
Mail to: Blue Croaa-Blue Shield
4010 W. Broad St., Richmond 30, Va.
I am interested in the Blue Croat-Bhaa
Shield SENIOR CITIZEN Contracts.
NAM E_AGE__
ADDRESS_s_
CITY_STATE_
If Married,
Name of Spoon* AGE
I understand that this does noC obligate am in any way.
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