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  • Full name of the disabled person who will use the equipment.
  • / /
  • Full address including postcode.
  • I declare that I am chronically sick or have a disabling condition by reason of:
  • I am receiving from 3S Projects Limited t/a Invictus Active, the goods mentioned below, which are being supplied to me for personal use.
  • 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.
  • / /
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