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Jotform Inc.
4 Embarcadero Center, Suite 780,
San Francisco, CA 94111
Tax ID: 46-5729519
INVOICE
Date:
January 16th, 2025
Invoice Number:
20250160640
Bill To
Name: Make The Difference BVBA
Email: frank@franksegers.be
Ship To
Name: Make The Difference BVBA
Email: frank@franksegers.be
Services
Total
JotForm bronze monthly
$29.00
Amount Paid:
$29.00
