MAYDAY PRODUCTS
PO BOX 290
Wallingford
OX10 1BJ
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Please send your cheque for £107.40 (includes p & p within the U.K.) with your cheque card number on the reverse,
payable to MAYDAY PRODUCTS.

If you are unable to sign the declaration below, please add 17.5% VAT which amounts to £124.67.

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.

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

Of (address) ……………………………………………………………………….

……………………………………………………………………………………..

declare that:
I am chronically sick or have a disabling condition by reason

of:…………………………………………………………………………………..

(give full and specific description of your condition); and that I am receiving from: MAYDAY PRODUCTS a WHEELCHAIR TRAVEL BAG which is being supplied to me for domestic or my personal use and I am claiming relief from VALUE ADDED TAX.

…………………………………………………………………                (signature)

………………………………………………………………....                   (date)