Please note there are penalties for making false declarations.

Please call us first if you need to use this Form - thanks.

Customer Declaration

If you are in any doubt as to whether you are eligible to receive goods or services zero-rated for VAT you should consult Notice 701/7 VAT reliefs for disabled people or contact the National Advice Service on 0845 010 9000 before signing the declaration.  Please Enter Your Details Below:-

I, First Name   Last Name     Email 

of the following address:-  House No./Name    Address 1 

Address 2     Town/City    Post Code 

Declare that I am chronically sick or have a disabling condition by reason of: (please give full and specific description of your condition in the box below)

We, Smart Price Warehouse Ltd., Spectrum House, Dunstable Road, Redbourn, St. Albans, Hertfordshire, AL3 7PR , are supplying the Shower Model as detailed on this form, to the person whose details also appear on this declaration. This form is situated HERE

Smart Price Warehouse

 On completing this form, please click the Submit Button below. Following this, you may continue to make you VAT exempt purchase at http://www.browneshealth.co.uk/mobility-details.htm  or by calling our Sales Line on 0208-166-5994

Please note there are penalties for making false declarations.