Product                       Unit Price  Quantity  Total £
___________________________   ________   _______    ________
___________________________   ________   _______    ________
___________________________   ________   _______    ________
___________________________   ________   _______    ________
___________________________   ________   _______    ________
________________                         Sub Total  ________

     For Carriage/Packing/Insurance, Please Enquire.________
                         
                Total Price £ (Pounds sterling)     ________
Method of payment:
(_)Cheque,(_)Post orders.

Address....................................................

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

       .................................Post Code..........

Email address......................................

Tel Number.........................................

Fax Number.........................................

UK RESIDENTS ONLY
VAT Exemption Form.  
PLEASE COMPLETE THIS SECTION TO OBTAIN VAT REFUND, IF ELIGIBLE.

Aids for handicapped persons-supply to an individual.

Title.............Full name.........................
Address.............................................
....................................................
County.......................Post Code..............

I declare that I am eligible person under paragraph 1
of leaflet 701/7/86,  that I am handicapped by a 
hearing disability and that I am receiving from 
Deaf Awareness Technology Denmark House, 35 Denmark Road
Poole Dorset BH15 2DE the items on the attached order 
form which are being supplied to me for my domestic or 
personal use and I claim that the supply of these goods 
is eligible for relief from Value Added Tax under Group 
14 of the Zero Rated Schedule to the Value Added Tax 
Act 1983.

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

THERE ARE SEVERE PENALTIES FOR MAKING A FALSE DECLARATION. 
IF YOU ARE IN ANY DOUBT ABOUT YOUR OWN ELIGIBILITY OF THE 
GOODS YOU ARE BUYING, YOU SHOULD GET ADVICE FROM ANY LOCAL
VAT OFFICE BEFORE SIGNING THIS DECLARATION.

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