MattressOnline.co.uk Ltd VAT Reclaim Request Form

Mattress Online Ltd are pleased offer a VAT rebate of 17.5% on the purchase of any of our memory foam mattresses and adjustable beds to those customers who are chronically sick, handicapped or disabled, this applies to illnesses that are deemed long term. Simply print the form or request and pre printed version by post, complete and return. If you have any question please contact us on 0800 180 4722. We shall refund the VAT back to your credit card or via a cheque within 14 days of receiving the completed form and payment.

Customer Eligibility:

• Registered disabled
• Chronically sick (physical or mental impairment with a long term adverse effect on everyday activities or has been deemed chronic by a medical professional)
• Diabetic
• Terminally ill
• Charities

For more information please review the HM Customs & Excise web site at http://www.hmce.gov.uk and use the search facility to find 701/7 VAT reliefs for disabled people Notice.

Order Details

If you have already placed your order, please specify your order details below. These details can be found on your email receipt.

Order number: .....................................................

Order date: ..........................................................

All rebates will be sent by cheque once the completed claim form has been recieved and all payments have cleared.

Please return the completed, signed and dated form to:

MattressOnline.co.uk Ltd
Units 7-9 Alexander Centre
Rail Mill Way
Parkgate
Rotherham
South Yorkshire
S62 6JE.

Eligibility declarations for goods and services for disabled people and charities serving their needs

Eligibility declaration by a disabled person

Please note there are penalties for making false declarations

Customer

If you are in any doubt as to whether you are eligible to receive goods or services zero-rated for VAT you should consult Notice 701/7 VAT reliefs for disabled people or contact our National Advice Service on 0845 010 9000 before signing the declaration.

I (full name) ....................................................................................

of (address) .....................................................................................

........................................................................................................

declare that:

• I am chronically sick or have a disabling condition by reason of: (give full and specific description of your condition):
  
  .............................................................................................................................
  
  .............................................................................................................................
  
  .............................................................................................................................
  
  .............................................................................................................................
  
  .............................................................................................................................
  
  and that
• I am receiving from MattressOnline.co.uk Ltd, Beaumont House, 52 Beaumont Road, Flitwick, Beds. MK45 1WD.
  UK.
  

  the following goods which are being supplied to me for domestic or my personal use: Mattress the following services to adapt goods to suit my conditions: Not applicable the following services of installation, repair or maintenance of goods: Not applicable the following alterations to my private residence: Not applicable the services of monitoring a personal alarm call system

and I claim relief from value added tax.

................................................................................................... (Signature)

.................................................................................................... (Date)