Educational Software Cooperative
                      Membership Application





   Name: _________________________________

   Company Name: _________________________

   Address:
         _________________________________

         _________________________________

         _________________________________

   Daytime phone: ________________________

   CompuServe User ID#: __________________



   Please check one:

   ____ Author
        List of programs written:
                       _______________________________
                       _______________________________
                       _______________________________
                       _______________________________

        Please also send distribution copies of your shareware so we can
        include them in our distribution package.

   ____ Shareware Dealer (or Vendor)

   ____ BBS Operator

   ____ Other



   Please include the $25.00 annual membership fee.

   Make check payable to:  Educational Software Cooperative
                           PO BOX 575
                           Siloam Springs, AR 72761