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Please note there are penalties for making false declarations. 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 reliefs for disabled people (www.hmce.gov.uk) or contact the National Advice Service on 0845 010 9000 before signing the declaration.

I declare that I have a qualifying disability and that I am receiving (from hearing check today Ltd. Cleckheaton) the items which are being supplied to me for my domestic and personal use.

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