Receipt

Order ID: INT170505-7349-96683
Order Created: 5 May 2017
Paid In Full: 5 May 2017

Purchaser

B Luckman
Paradise Computing
Unit 1
Pedigree Farm
Althorp, NN7 4HE
United Kingdom

VAT ID : GB463040184

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 Bronze Monthly
Billed monthly. Next Billing Date On 6/4/17
1 US$0.00 US$19.00
Subtotal US$19.00
VAT (0%) US$0.00
Total US$19.00