Cantre Mobility VAT Exemption Form

I (full name)
of (address)
declare that I am chronically sick or disabled by reason of (give full and specific description of your condition)
and I am receiving from Cantre Mobility the following goods which are being supplied to me for domestic or my personal use (give description of goods)
and I claim relief from value added tax under group 12 of schedule 8 to the Value Added Tax Act 1994.
Signed (sign the printed form)
Date

This Form should either be posted to:

Cantre Mobility,
Sgwar Alban,
Aberaeron
Ceredigion,
SA46 0AQ

Or Faxed to:

01545 571355