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: 020 8532 9551 or edit and scan this page and email to: vatdec@bodyclock.co.uk or post it to us at: 108 George Lane, South Woodford, London, E18 1AD, England. Please note that it is an offence to make a false declaration. Patient name in Full (Mr/Ms/Mrs) (Block Capitals)________________________________________________ Address_____________________________________________________ Postcode________________Telephone___________________________ I declare that I am chronically sick or have a disabling condition and that I am receiving from Body Clock Health Care Ltd the following goods which are being supplied to me for the order I have placed for domestic or my personal use OR the products are being purchased on behalf of an individual who is chronically sick or disabled and the goods will be delivered to the individuals address. I claim that the supply of these goods is eligible for relief from Value Added Tax (VAT) under the VAT act 1994. Signature____________________________________ Date____________________ (Patient/Patient's representative)
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