Anderson Medical & Mobility: VAT Exemption Form

V.A.T. EXEMPTION FORM

VAT Registration No: 261 7860 45

If you are Registered Disabled you may not need to pay VAT.

To claim back VAT incurred on a purchase from Anderson Medical & Mobility, you need to be eligible under VAT
regulations set out in leaflet 701/7/94. If you are unsure, please contact your medical advisor and/or your local VAT
office.

If you are claiming VAT exemption you pay only the "excluding VAT" price plus postage where applicable. Anderson Medical & Mobility must receive this form before any goods can be despatched.

VAT Exemption Declaration Form
(please print out this form and enclose it, completed, with your order)

I (full name) ...........................................................................................................................................

of (full address) ......................................................................................................................................

...............................................................................................................................................................

declare* that I am eligible under current VAT legislation to VAT exemption due to chronic illness
by reason of (please describe your condition)

..............................................................................................................................................................

to receive from Shiloh Active Care the following goods for my own personal use (description of goods)

..............................................................................................................................................................

Signature ..................................................................... Date .................................................................

* There are penalties for making a false declaration.

If you are in doubt you can obtain advice from any local VAT office.


Anderson Medical & Mobility	Unit 48, IMEX Business Centre, Bilston Glen Industrial Estate, Dryden Road, Loanhead, Midlothian, EH20 9LZ Freephone: 0800 328 4143 T 0131 440 3929 F 0131 440 4247 E andersonmedmob@btconnect.com