VAT Declaration - if you qualify for VAT at the zero-rate you must complete this section to claim VAT relief from VAT on the goods you are ordering. Please print out this form and send it by post along with your order.

Goods and Services for disabled persons: Eligibility declaration by an individual


I ______________________________

declare that I am / the person for whom I am buying is / chronically sick or disabled by reason of (please give in the space that follows a full and specific description of your condition, e.g. Rheumatoid Arthritis, Osteo-arthritis) ____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
and that I am receiving from Wristeasy Ltd. goods which are being supplied to me for domestic or my personal use and claim relief from VAT under group 12 of schedule 8 to Added Tax Act 1994


Customer's Signature_________________ Date ____________