{% extends 'static_pages/index.html' %} {% block head_scripts %} {% endblock %} {% block nav %}{% endblock %} {% block base %}

{{ config.SERVICE_NAME }}

Invoice

Sold To

{% if current_user.invoice_address %} {{ current_user.invoice_address | replace("\n", "
") | safe }} {% else %} {{ current_user.email }} {% endif %}

Invoice Summary

Invoice Date: {{ invoice.date|epoch_to_date }}
Invoice Number: {{ invoice.id }}
Payment Terms: Due Upon Receipt

Billing Overview

Total: ${{ invoice.total/100 }}
{% if invoice.paid %} Payments: ${{ invoice.total/100 }}
Balance Due: $0.00 {% else %} Payments: $0.00
Balance Due: ${{ invoice.amount_due/100 }} {% endif %}

Charge Summary

Charge Name Description Service Period Period
{{ config.SERVICE_NAME }} {{ config.UPGRADED_PLAN_NAME }} {{ config.UPGRADED_PLAN_NAME }} includes unlimited submissions, invisible emails, sitewide forms, preconfirmed forms, submissions archive, and option to disable reCAPTCHA {{ invoice.lines.data[0].period.start|epoch_to_ts }} to {{ invoice.lines.data[0].period.end|epoch_to_ts }} ${{ invoice.total/100 }}
{% if invoice.paid %}

Transaction Summary

Type Date Number Description Amount
Payment {{ charge.created|epoch_to_date }} {{ charge.id }} (${{ charge.amount/100 }})

Payment Summary

Type Date Number Method Description Amount
Electronic {{ charge.created|epoch_to_date }} {{ charge.id }} {{ charge.source.funding|title }} {{ charge.source.object|title }} ••••{{ charge.source.last4 }} ${{ charge.amount/100 }}
{% endif %}
{% endblock %}