Please note there are penalties for making false declarations.

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)

And I am receiving from Browne's Health Ltd of 14 Queens Road Bournemouth Dorset BH2 6BE the Shower Model for which the Order Code is [please enter the BH model reference]

On this basis I claim relief from Value Added Tax for this purchase. [by way of signature, please type your full-name into the field below and type the date you are completing this form.

Signature [type full name]    Date of Purchase

We, Browne's Health Ltd of 14 Queens Road Bournemouth Dorset BH2 6BE, are supplying the Shower Model as detailed on this form, to the person whose details also appear on this declaration. This form is situated at http://www.browneshealth.co.uk/vat-excemption-declaration.htm

Browne's Health

 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 0845-4594183

Please note there are penalties for making false declarations.