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Vat Exemption Declaration
Full Name
*
First Name
Last Name
Email
*
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
I Declare that I am chronically sick or disabled by reason of:
I confirm that I am receiving the goods and/or services detailed on the below invoice number from Chapman Car Care Limited (Vat Number 329856122) which are being supplied to me for my personal use and I claim relief from VAT.
Confirmed
Invoice Number
*
Thank you for your submission
Our Office
56 Vantage Copse
Southampton
Hampshire