By ticking this box, I confirm that:​

I am authorised to make and sign this declaration on behalf of the named qualifying business;​

The information given on this form is correct and complete;​

I agree to promptly notify Corona Energy of any significant changes in circumstances (including the qualifying use); and​

I understand that any incorrect information given may make the Customer liable to a financial penalty under the VAT Act 1994, as amended from time to time.​