EmailMe Form - Invictus Active VAT Excemption Form

Users Name: *

Full name of the disabled person who will use the equipment.

DOB: *

DD / MM / YYYY

Address:

Full address including postcode.

I declare that I am chronically sick or have a disabling condition by reason of:

Define Disability:

I am receiving from 3S Projects Limited t/a Invictus Active, the goods mentioned below, which are being supplied to me for personal use.

Products Supplied:

List the product / solution / equipment.

I claim that the supply of these goods is eligible for relief from Value Added Tax under Group 14 of the Zero Rate Schedule to the Value Added Tax Act 1983.

Date:

DD / MM / YYYY

Type name for signature:

Or you can write using mouse below:

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