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/ Software Vault: The Gold Collection / Software Vault - The Gold Collection (American Databankers) (1993).ISO / cdr09 / grocr301.zip / REG_FORM.TXT < prev   
Text File  |  1993-06-06  |  2KB  |  27 lines
  1.     ***********************************************************************
  2.     *                                                                     *
  3.     *   MAIL TO: The Grocery Shopper                                      *
  4.     *            Clark Systems                                            *
  5.     *            129 Pitney Road                                          *
  6.     *            Absecon, N.J.  08201                                     *
  7.     *                                                                     *
  8.     *   REGISTRATION FORM                                                 *
  9.     *                                                                     *
  10.     *   Name: _________________________________________________________   *
  11.     *                                                                     *
  12.     *   Address: ______________________________________________________   *
  13.     *                                                                     *
  14.     *            ______________________________________________________   *
  15.     *                                                                     *
  16.     *   City: ______________________________  Country: ________________   *
  17.     *                                                                     *
  18.     *   State: _____________________________  Zip: ____________________   *
  19.     *                                                                     *
  20.     *   Program: GROCERY SHOPPER , Version 3.01                           *
  21.     *                                                                     *
  22.     *   Preferred Disk Size: 5.25 ____    3.5: ____                       *
  23.     *                                                                     *
  24.     ***********************************************************************
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