Receipt

Order ID: INT150113-3350-85760B
Order Created: 13 January 2015
Paid In Full: 13 January 2015

Purchaser

Janice Bartlett
National Animal Rescue Groups of Australia (NARGA) Inc
PO Box 164
Woodgate Beach, QLD 4660
Australia

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

Seller

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

questionacharge.com
ARN 3000 0970 3953

Description Quantity GST Amount
JotForm Economy Yearly
Billed yearly. Next Billing Date On 1/12/16
1 USD 0.00 USD 199.50
Discount - USD 99.75
Subtotal USD 99.75
GST (0%) USD 0.00
Total USD 99.75