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VAT EXEMPTION FORM

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* I am receiving from Abbott Laboratories Ltd, Abbott House, Vanwall Business Park, Vanwall Road, Maidenhead, SL6 4XE the following goods that are being supplied for personal use: Flash Glucose Monitoring system (including sensors). I claim relief from Value Added Tax.

* I declare that I suffer from Diabetes Mellitus or I am buying goods on behalf of someone who suffers from Diabetes Mellitus and who is over the age of 4.

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Salutation

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First name*

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Last name*

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Mobile number*

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Street Address*

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Address Line 2

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Post code*

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Name of the address*

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Salutation*

Salutation

Mr
Mrs
Miss
Dr
Prof
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Mandatory fields are not filled

First name*

Please enter a valid first name This field is required Your input contains invalid special characters or exceeds the character limit of 35.

Last name*

Please enter a valid first name This field is required Your input contains invalid special characters or exceeds the character limit of 35.

Mobile number*

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Please verify your address

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Required fields are marked with *

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Street Address*

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Address Line 2

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Post code*

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City*

Please enter a valid city This field is required Your input contains invalid special characters or exceeds the character limit of 35.

County*

Select County

Aberdeen City
Aberdeenshire
Anglesey/Sir Fon
Angus
Argyll and Bute
Bedfordshire
Berkshire
Blaenau Gwent
Bridgend
Bristol
Buckinghamshire
Caerphilly
Cambridgeshire
Cardiff
Carmarthenshire
Ceredigion
Cheshire
Clackmannanshire
Conwy
Cornwall
County Antrim
County Armagh
County Down
County Fermanagh
County Londonderry
County Tyrone
Cumbria
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Devon
Dorset
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Dundee
Durham
East Ayrshire
East Dunbartonshire
East Lothian
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East Sussex
Edinburgh
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Falkirk
Fife
Flintshire
Glamorgan
Glasgow
Gloucestershire
Greater London
Greater Manchester
Gwynedd
Hampshire
Herefordshire
Hertfordshire
Highland
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Isle of Wight
Kent
Lancashire
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Lincolnshire
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Merthyr Tydfil
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Midlothian
Monmouthshire
Moray
Neath Port Talbot
Newport
Newport City
Norfolk
North Ayrshire
North Lanarkshire
North Yorkshire
Northamptonshire
Northumberland
Nottinghamshire
Orkney
Oxfordshire
Pembrokeshire
Perth and Kinross
Powys
Renfrewshire
Rhondda Cynon Taff
Rutland
Scottish Borders
Shetland Isles
Shropshire
Somerset
South Ayrshire
South Lanarkshire
South Yorkshire
Staffordshire
Stirlingshire
Suffolk
Surrey
Swansea
Torfaen
Tyne and Wear
Warwickshire
West Dunbartonshire
West Lothian
West Midlands
West Sussex
West Yorkshire
Western Isles
Wiltshire
Worcestershire
Wrexham
Yorkshire, East Riding

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Country*

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Name of the address*

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Add new address

Please fill in all the required fields.

Required fields are marked with *

Required*

Salutation*

Salutation

Mr
Mrs
Miss
Dr
Prof
-

Mandatory fields are not filled

First name*

Please enter a valid first name This field is required Your input contains invalid special characters or exceeds the character limit of 35.

Last name*

Please enter a valid first name This field is required Your input contains invalid special characters or exceeds the character limit of 35.

Mobile number*

Please provide a valid phone number, starting with +44. This field is required Please provide a valid phone number, starting with +44. Do not add any separators, like -, (), or blanks.

Please verify your address

We found one address

We found several addresses.

We found a large number of addresses.

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Required fields are marked with *

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Your address

Street Address*

Please add a valid street and number This field is required Your entry exceeds the character limit of 35 characters. Please split your input between Streetline 1 and 2.

Address Line 2

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Post code*

This field is required Enter Post code in correct format

City*

Please enter a valid city This field is required Your input contains invalid special characters or exceeds the character limit of 35.

County*

Select County

Aberdeen City
Aberdeenshire
Anglesey/Sir Fon
Angus
Argyll and Bute
Bedfordshire
Berkshire
Blaenau Gwent
Bridgend
Bristol
Buckinghamshire
Caerphilly
Cambridgeshire
Cardiff
Carmarthenshire
Ceredigion
Cheshire
Clackmannanshire
Conwy
Cornwall
County Antrim
County Armagh
County Down
County Fermanagh
County Londonderry
County Tyrone
Cumbria
Denbighshire
Derbyshire
Devon
Dorset
Dumfries and Galloway
Dundee
Durham
East Ayrshire
East Dunbartonshire
East Lothian
East Renfrewshire
East Sussex
Edinburgh
Essex
Falkirk
Fife
Flintshire
Glamorgan
Glasgow
Gloucestershire
Greater London
Greater Manchester
Gwynedd
Hampshire
Herefordshire
Hertfordshire
Highland
Inverclyde
Isle of Wight
Kent
Lancashire
Leicestershire
Lincolnshire
Merseyside
Merthyr Tydfil
Middlesex
Midlothian
Monmouthshire
Moray
Neath Port Talbot
Newport
Newport City
Norfolk
North Ayrshire
North Lanarkshire
North Yorkshire
Northamptonshire
Northumberland
Nottinghamshire
Orkney
Oxfordshire
Pembrokeshire
Perth and Kinross
Powys
Renfrewshire
Rhondda Cynon Taff
Rutland
Scottish Borders
Shetland Isles
Shropshire
Somerset
South Ayrshire
South Lanarkshire
South Yorkshire
Staffordshire
Stirlingshire
Suffolk
Surrey
Swansea
Torfaen
Tyne and Wear
Warwickshire
West Dunbartonshire
West Lothian
West Midlands
West Sussex
West Yorkshire
Western Isles
Wiltshire
Worcestershire
Wrexham
Yorkshire, East Riding

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Country*

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Name of the address*

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VAT EXEMPTION FORM

I would like to claim relief from Value Added Tax. I suffer from Diabetes Mellitus or I am buying goods on behalf of someone who suffers from Diabetes Mellitus and who is over the age of 4.

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