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California License No. 0755761

 

Blue Shield Application

To get the Blue Shield application, you will need to have Adobe Acrobat Reader installed on your PC.  If you do, then just click here: GET THE FORM.

If you don't have the Reader, it is free, then click here or on the Adobe graphic below: GET ADOBE.   After you have installed the Adobe Acrobat Reader, return here to view and download the form. The Reader is very handy, easy to obtain, and is used by many sites on the World Wide Web to dispense forms in .pdf format. The forms look virtually identical to those produced by a commercial printer.

Acrobat Reader

 

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Call me toll free at 1.888.622.4900, or send e-mail to dee@deeroberts.com

 

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