THIS IS FOR UK CUSTOMERS ONLY!!

You must pay VAT on tyres and batteries

Use Coupon Voucher code 'VAT20' at checkout and click 'update basket' to activate it

Please complete this form to accompany your discount - failure to do this form and have the discount will incur non-delivery until the form is completed.

I declare that I am (or acting on behalf of) a person with a physical or mental impairment, long term or terminal illness or part of a charity or charity-lead care establishment.:	YES  NO
I acknowledge that VAT Exemption does not apply to broken limbs or other short-term issues.:	YES  NO
Please state the long-term medical condition (Arthritis, COPD, etc.). This has to be a CONDITION or ILLNESS - putting 'old age', 'mobility problems', 'disabled badge holder' 'broken limb' or 'elderly' is not accepted:
Full Name of Declarer Completing This Form:
Name of Patient / Establishment / Charity:
Address of Patient / Establishment / Charity:
Charity Number:
Reclaim of VAT: Make and Model of mobility scooter:	*
	*
	Please add the two numbers and enter the result, this is to prove you're human and not a spam robot.