BIG BLUE DISK PROGRAM SUBMISSION FORM

Please complete this form and send it to us along with your program.  We 
cannot process your submission without this information.

                           Date_____________________

                   Your Name:_______________________________
    
                   Address  :_______________________________

                   City     :_______________________________

                   State    :______________ ZIP:____________

                   Phone    :_______________________________

                   Social Security #:_______________________

                   Program name:____________________________

                                  Files Used:






                   Briefly state the purpose of the program:


                         Programming language(s) used:



                    Sign here:_____________________________

My signature above indicates that BIG BLUE DISK has permission to publish my 
program.  I understand that I retain the copyright to my program.  

Has your program been published or sumitted for publication elsewhere?  If so, 
where?


Submit your program on an MS-DOS or PC-DOS disk.  Documentation for your 
program should be included on the disk also, in standard ASCII text files with
lines of no more than 80 characters.

Send your submission disk and a copy of this form (keep a copy of each for
yourself) to:

                                 BIG BLUE DISK
                                P.O. Box 30008
                           Shreveport, LA 71130-0008
            Note: We will send you a replacement disk immediately.