EDUCATIONAL SOFTWARE COOPERATIVE MEMBERSHIP APPLICATION

Mail form to:
    Educational Software Cooperative
    127 The Ranch Rd
    DelValle, TX  78617
    USA

YES! I'd like to join/renew now:

___ Basic $35   

___ Contributing $50  ___ Supporting $100 ___ Lifetime $1000

   Amounts are in U.S. dollars, checks drawn on and payable through a
   U.S. bank.  Membership is renewable each April. If you join late in
   the membership year, your dues for the second year will be reduced. 

Name:         __________________________________________
 
Company Name: __________________________________________
 
Address:      ___________________________________________________
 
              ___________________________________________________
   
              ___________________________________________________
 
Phone: _____________________________ Fax: _______________________________
 
Email: _____________________________ URL: _______________________________
 
Please check one:
 
____ Author / Developer                ____ Webmaster / Online Service
     Please do not send software
     with application

____ Software Vendor / Distributor     ____ Teacher / Administrator
 
____ Parent                            ____ Other

Payment Enclosed:  _____ Check      _____ Money Order


(Note that the duration of a lifetime membership is the life of the
 member, or the existence of the corporation, whichever ends first.)