VAT EXEMPTION DECLARATION

To claim VAT Relief on your purchases you just need to complete this simple online form stating the product is for your "domestic and personal use." The form can be lodged with us electronically, or printed out, signed and posted to us.

I (Full Name)
Of (Address, or name & address of charity)
Declare that I am chronically sick or have a disabling condition by reason of (Please give a full and specific description of your condition. Charities leave blank)
And that I am receiving goods from Mobility 4U, Unit 1F, The Old Malthouse, Springfield Road, Grantham NG31 7BG for my domestic or personal use.
Product being purchased
I/we claim relief from Value Added Tax.
Type your name here to sign the declaration
Today's date
Your email address (in case we need to contact you)
Your telephone number (in case we need to contact you)