VAT Refund Claim Form

Click & Buy Ltd: - Are pleased to offer a VAT rebate of 17.5% on the purchase of any of our Products to those customers who are chronically sick, handicapped or disabled, this applies to illnesses that are deemed long term. Simply print the form or request a pre printed version by post, complete and return. If you have any question please contact us on 0845 2270382. We will refund the VAT back to you via the same method you initially paid for your goods, this will be done within 12 days of receiving the completed form.
Customer Eligibility:
Registered disabled Chronically sick (physical or mental impairment with a long term adverse effect on everyday activities or has been deemed chronic by a medical professional)
Diabetic
Terminally ill
Charities
For more information please review the HM Customs & Excise web site at http://www.hmce.gov.uk  and use the search facility to find 701/7 VAT relief's for disabled people Notice.
Order Details
Please specify your order details below. These details can be found on your invoice.

Invoice ID: ..........................................................

Order date: ..........................................................

Please return the completed, signed and dated form to:
Click & Buy Ltd, Carpenter Court, Maple Road, Bramall, Stockport -SK7 2DH - Cheshire

Eligibility declarations for goods and services for disabled people and charities serving their needs.
Customer:
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 relief's for disabled people or contact the National Vat Advice Service on 0845 010 9000 before signing the declaration.

I (full name) ....................................................................................

of (address) .....................................................................................

........................................................................................................
declare that:
I am chronically sick or have a disabling condition by reason of: (give full and specific description of your condition):

.............................................................................................................................

.............................................................................................................................

.............................................................................................................................

.............................................................................................................................

.............................................................................................................................
and that
I am receiving from Click & Buy Limited - Carpenter Court, Maple Road, Bramall, Stockport SK7 2DH.
The goods which are being supplied to me are for domestic or my personal use and I claim relief from value added tax.

................................................................................................... (Signature)

.................................................................................................... (Date)

PRINT THIS PAGE AND POST TO OUR STOCKPORT ADDRESS SHOWN ON THIS FORM.

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