VAT relief Eligibility Declaration

Please note that there are penalties for making a false declaration.

Customer Declaration

If you are 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 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 (or signing on behalf of someone with a) chronically sick or have a disabling condition by reason of :
(please give full and specific description of the condition)

I am receiving from :	E2L Products Limited
	19 White Swan Court
	MONMOUTH
	UK NP25 3NY
	VAT: GB 850 6931 18

The following goods which are being supplied to me for my domestic or personal use :

(Please check desired product)

	MegaBee communications tablet
	1 month MegaBee trial
	Bluetooth Dongle for MegaBee

and I claim relief from VAT.

Supplier Declaration

We, E2L Products limited, of 19 White Swan Court, MONMOUTH, NP25 3NY, UK.
Are supplying a MEGABEE communications tablet to the above named person for the personal use of the disabled person.

Lyndon Owen, Managing Director
For and on Behalf of E2L Products Limited