Please Fill in VAT EXEMPTION form if you qualify for VAT free goods. E.g. If you are chronically sick, disable or are on registered charity
Note that the prices exclude VAT. If the form below is not completed then our Customer Care Team will contact you to collect the VAT part of the sale before dispatch
We can supply certain products free from VAT tax if you suffer from certain illnesses, and you are using that product for that illness
VAT RELIEF FOR PEOPLE WITH DISABILITIES
Your Name (Please type in your full name)
Your Mailing Address
Your E-mail Address
Your Telephone Number
Declare that I am chronically sick or disabled by reason of (Please type in a short description of your disability or illness)
Please type in your usual signature
Important Note: If you are unable to complete this form yourself, someone else may do so for you by completing the boxes below.
I declare that the goods to be ordered are for the sole use of the person named in this form.
Proxy Signature -Please type in your signature
Relationship (Please state your relationship to the patient eg. carer, relative etc.)
If you are in any doubt as to whether you are eligible to receive goods or services zero-rated for VAT you should consult Notice 701/7 VAT reliefs for disabled people or
Contact Customer Care Service on 02075118292 before signing the declaration.
Please note there are penalties for making false declarations
Goods supplied by-lifepharmacy.co.uk Healthcare Concepts Ltd The Hub 123 Star Lane London E16 4PZ
and I am receiving the Goods which are being supplied to me for domestic or my personal use only.