OptionGrid Software Order Form www.optiongrid.com Please print this form from your browser and type or print your order information clearly. Enter your address: Name _________________________________________________________ Address ______________________________________________________ City __________________ St./Prov. ___________ ZIP/Code _______ Country _________________ Email ______________________________ Enter your quantity and total below. All prices are in US Dollars. Quantity Product Name Price Total ________ OptionGrid v2.5 $229.00 $_________ ________ OptionGrid v2.5 Upgrade $ 99.00 $_________ Select your payment type and make checks payable to: "Butler Creek Software, Inc." [ ] Cash (US Dollars only) [ ] Check (Must be in US Dollars and drawn against a US bank) [ ] Money Order Mail this order form and payment to: Butler Creek Software, Inc. 2425 Hawken Dr. Castle Rock, CO. 80109 USA When we receive your payment, your registration code will be sent to the e-mail address that you supplied above. Thank you for your order!