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or working where there are nine or femer employees, and (2) in reasonably good health. This program is for persona who J are not eligible for group coverage, and * who are npt now enrolled in Blue Croas Blue 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 lean an individual basis—separate appticatfasn are required for husband and wife. AppB ‘ cation blanks are available at your food Blue Cross-Blue Shield district ottee,' hospital or doctor’s office. •MAILTHIS COUPON FOR BETAKS ' *If 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 Crass-Blue Shield 4010 W. Broad St., Richmond 90, Vs. I am interested in the .Bine Gross-Bias Shield SENIOR CITIZEN
NAME. ADDRESS. CITY_
.STATE. If Married, Name of Spnn— flrlTR I understand that this does aot in any way.
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