Company Name _________________________________________________
Contact Name ___________________________________________________
Address _____________________City______________State/Zip _________
Phone ______________E-Mail ________________URL _________________

Entry Information: A single entry fee of $455 (per software publisher or website) is required, which allows submission of up to 3 entries (add $75 for each additional entry). Please submit 3 copies of each title or website information (Windows or Macintosh platforms). Deadline for entries is January 20, 2006. [Please make checks payable to ComputED, and mail entries to the address below. Checks or money orders not payable through a US bank are subject to a $25 processing fee.]
Please select one or more categories for which you are submitting entries. Attach additional pages as needed: