Inclusive Technology Ltd - VAT Exemption Form --------------------------------------------- You will not have to pay VAT if the following 3 conditions are applicable: · You declare that you (or the person for whom you are purchasing the products on behalf of) are chronically sick or disabled * · The products that you are purchasing are eligible to be supplied at a zero rate of VAT. · The products that you are purchasing are being supplied to you (or the person for whom you are purchasing the products on behalf of) for domestic or personal use only. * You (or the person for whom you are purchasing the products on behalf of) do not have to be registered disabled, but the nature of the illness or disablement must be specified below. VAT Declaration --------------- For you (or the person for whom you are purchasing the products on behalf of) qualify for VAT relief you must complete the section below. I (Full name of the person who will use the products).................................... Of (Address)............................................................................. ....................................................Post Code: .......................... I declare that I am chronically sick or disabled because I have (please be specific): .................................................................................................. I am receiving from Inclusive Technology Ltd products which are to be used for domestic or my personal use. I claim relief from Value Added Tax under Group 12 of Schedule 8 to the Value Added Tax Act 1994. Signature (if applying for yourself)............................................................. Signature (if applying on behalf of someone else)................................................ Date............................................. By completing this form you authorise Inclusive Technology Ltd to hold your information on file. This data will be used for VAT accounting purposes only. ------------------------------------------------------------------------------------------------- Please send the completed form to: Shelley Evans Operations Manager Inclusive Technology Ltd Riverside Court Huddersfield Road Delph Oldham OL3 5FZ If you have any questions, please call us on (Freephone) 0800 975 6090, or email us at inclusive@inclusive.co.uk