Receipt

Order ID: INT131213-3738-10780
Order Created: 13 December 2013
Paid In Full: 13 December 2013

Purchaser

Abi Perry
Dream Cottages
Dream Cottages
5 Hope Square
Weymouth, DT4 8TR
United Kingdom

VAT ID : GB730066565

Product Support
https://www.jotform.com
support@jotform.com

Seller

FastSpring
801 Garden Street
Suite 201
Santa Barbara, CA 93101
US

questionacharge.com
VAT Number: 375-3691-65

Description Quantity VAT Amount
JotForm Premium Yearly
Billed yearly. Next Billing Date On 12/12/14
1 US$0.00 US$90.00
Discount - US$45.00
Subtotal US$45.00
VAT (0%) US$0.00
Total US$45.00