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    *                                                                     *
    *   MAIL TO: The Grocery Shopper                                      *
    *            Clark Systems                                            *
    *            129 Pitney Road                                          *
    *            Absecon, N.J.  08201                                     *
    *                                                                     *
    *   REGISTRATION FORM                                                 *
    *                                                                     *
    *   Name: _________________________________________________________   *
    *                                                                     *
    *   Address: ______________________________________________________   *
    *                                                                     *
    *            ______________________________________________________   *
    *                                                                     *
    *   City: ______________________________  Country: ________________   *
    *                                                                     *
    *   State: _____________________________  Zip: ____________________   *
    *                                                                     *
    *   Program: GROCERY SHOPPER , Version 3.01                           *
    *                                                                     *
    *   Preferred Disk Size: 5.25 ____    3.5: ____                       *
    *                                                                     *
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