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VAT Declaration
If you are chronically sick or disabled No VAT is payable, but we need you to fill in the customer details and sign the VAT declaration. On receipt of the completed form we will refund any VAT that you may have paid with your order. Simply print out this page, complete the form and fax it back to us: 0208 500 6320 or edit and scan this page and email to: vatexemption@supatherapy.comor post it to us at: Supagroup Ltd UNIT 2 ROEBUCK MEWS 11-13 ROEBUCK ROAD HAINAULT ESSEX IG6 3HR
Please note that it is an offence to make a false declaration.
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Patient name in Full (Mr/Ms/Mrs)
(Block Capitals)_______________________________________________
Address____________________________________________________
Postcode________________Telephone___________________________
I declare that I am chronically sick or disabled and that I am receiving from Supatherapy.com TENS/EMS/Electro-Acupuncture equipment for my personal use. I claim that the supply of these goods is eligible for relief from Value Added Tax (VAT) under group 14 of Section 5 to the Value Added Tax Act 1983.
Signature____________________________________ Date____________________
(Patient/Patient's representative)
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