Blue Advantage (PDP) : Enrollment Kit Request

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I am requesting this kit for someone else.

Shipping Information:

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  I consent for Blue Cross and Blue Shield of Alabama to contact me at the number provided above regarding its services and special offers. I understand that calls and texts may be sent through an automated system and that consent is not required to make a purchase.

Medicare Beneficiary Information

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(Providing your email allows us to contact you.)
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I consent for Blue Cross and Blue Shield of Alabama to contact me at the number provided above regarding its services and special offers. I understand that calls and texts may be sent through an automated system and that consent is not required to make a purchase.