Eligibility declaration by a disabled person

I am a returning customer who has already filled out the VAT declaration

OR



Please note: there are penalties for making false declarations.
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 our National Advice Service on 0845 010 9000 before signing the declaration.

I, (full name)

..of..

address

email

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

(give full and specific description of your condition);
OR
or I am buying the cannula on behalf of the patient
and that
The Everest Silicon Nasal Cannula or Spare Nasal Prongs I am receiving from: Pentland Medical Ltd are being supplied to me for domestic or my personal use.

I have read and understand the terms and conditions for use of this website and the full specification of the Everest cannula including product and tubing limitations"

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