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I am in receipt of the following benefit or over 70 years old: *
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| I am over 70 years of age |
| Council Tax
Benefit |
| Housing Benefit |
| Income Support |
| Income-based Job Seeker's Allowance |
| Attendance Allowance |
| Disability Living Allowance |
| Disablement Pension which includes constant attendance allowance |
| War Disablement Pension which includes either a mobility supplement or constant
attendance allowance |
| State Pension Credit |
| Child Tax Credit where relevant income is 15,592 or less |
| Working Tax Credit where relevant income is less than 15,592 or less |
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Terms and conditions In filling in the on-line form and
declaration you acknowledge that your details will be forwarded to The Grass
Roots Group UK Limited, Tring, Hertfordshire. We will ensure that your data is
processed in accordance with the data Protection Act 1998. The Grass Roots Group
UK Limited or E.ON reserve the right to change or withdraw this offer at any
time. This offer is subject to availability and due to high demand there
may be a delay in dispatch. We endeavour to send your lightbulbs as quickly as
possible. Thank you for your patience. Only one pack of
Free light bulbs per household. Offer available to residents of
Great Britain
only.
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