EmailMeForm
VAT Exemption Form
Please complete this form so that you can receive VAT Relief for your MobilityPlus wheelchair.
Name of purchaser
(if you are buying for someone else)
First
Last
Name of the person eligible for VAT relief.
*
First
Last
Address of the person eligible for VAT relief.
*
Street Address
City
State / Province / Region
Postal / Zip Code
Email
Contact phone number of purchaser
*
Please state illness (or charity number) qualifying you for VAT Relief
*
For VAT purposes, you qualify for VAT Relief if you’re disabled or have a long-term illness.
Date of purchase
*
MM
/
DD
/
YYYY
I am receiving the goods from MobilityPlus Wheelchairs and they are being supplied for domestic or personal use.
Please fill in your name to sign this as a true statement.
*
