For VAT free wig supply

Please print this form out (press print on your browser).
Add your name and address as shown at the top.
List the medical reason for the hair loss on the form.
Sign the form at the bottom and return with your order to us at P.O. Box 1006, Swindon, Wilts, SN3 6BE.
The vat cost on your order will then not be charged.
SORRY YOU CAN NOT ORDER ON LINE WITH THE VAT FREE FORM.

GOODS AND SERVICES FOR DISABLED PERSONS: ELIGIBILITY DECLARATION BY AN INDIVIDUAL

I (full name)

Of (address)

Declare that I am chronically sick or disabled by reason of: (give a full and specific description of your condition)

 

 

and that I am receiving from: DirectWigs, P.O. Box 1006 , Swindon, SN3 6BE

the following goods which are being supplied to me for domestic or my personal use;
Ladies full wig

the following services to adapt goods to suit my condition: (description of services and goods)
the following services of installation, repair or maintenance of goods: (description of services and goods)
the following alterations to my private residence: (description of alteration – see VAT notices 701/7 paragraph 19)
the services of monitoring a personal alarm call system
the services of leasing a motor vehicle

And I claim relief from value added tax under Group 14 of Schedule 5 to the Value Added Tax Act 1983.

Signature) …………………………………………….. Date ………………………………….

NOTE TO CUSTOMER:

If you are in doubt as to whether you are eligible to receive goods or services zero rated for VAT you should consult your local VAT office before signing the declaration.