EmailMeForm
VAT Exemption Form
Please complete this form so that you can receive VAT Relief for your Livewell Today product
Name of Purchaser
(if you are buying for someone else).
First
Last
Date of birth of person eligible for VAT Relief.
MM
/
DD
/
YYYY
This is only needed if you wish to receive 3 months free insurance on Powerchairs, Wheelchairs or Mobility Scooters.
Name of the person eligible for VAT Relief.
*
First
Last
Please enter the address of the person eligible for VAT Relief.
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Contact phone number purchaser
*
Email address of purchaser
Please state illness (or charity number) qualifying you for VAT Relief
*
For VAT purposes, you qualify for VAT Relief if you’re disabled or have a long-term illness.
If you need information regarding eligibility
CLICK HERE
Date of purchase
*
DD
/
MM
/
YYYY
I am receiving the goods from Livewell Today and they are being supplied for domestic or personal use. Please fill in your name to sign this as a true statement.
*
Unique ID