VAT Exemption

Please complete your VAT Exemption Declaration on the form below. This will be automatically submitted to our admin team and matched to your order.

Please note - any personal information disclosed on this form will be kept by Distribe Limited for 6 years as a legal obligation to HMRC. Please contact sales@distribe.co.uk for more information on how we treat your data.

First Name

Last Name

Email Address

I AM PURCHASING THESE ITEMS*

Medical Condition

Brief Description of Goods

Initials

Today's Date

I CLAIM RELIEF FROM VAT UNDER GROUP 14 OF SCHEDULE 5 TO THE VAT ACT 1983*

Please Note: In the case of goods being supplied to a child, the parent/guardian may complete this form on behalf of the child but must state PARENT or GUARDIAN.

Thanks for submitting!