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By submitting this form, I declare that I am chronically sick or disabled and that I am receiving from Roma Medical Aids Ltd, Bridgend, the goods mentioned below, which are being supplied to me for personal use.

Goods (Drop Down Menu)
Rugby WheelchairBasketball WheelchairWCMX WheelchairBasketball WheelchairTennis WheelchairBadminton WheelchairMulti-Sport WheelchairDance WheelchairRugby League WheelchairWheelchair AccessoriesOther

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I claim that the supply of these goods is eligible for relief from Value Added Tax under group 14 of the Zero Rate Schedule to the Value Added Tax Act 1983.