where experience counts

 

Med-Ecosse Ltd, Unit 13, 32 Dryden Road, Bilston Glen Industrial Estate, Loanhead, Edinburgh, EH20 9LZ

Tel: 0131 440 4225               Email: medeco67@aol.com              Fax: 0131 440 4265

 

 
Mail Order Form
Please call us for p&p charges.

Mr/Mrs/Miss/Ms: ........................................................................

Address: ....................................................................................
              ....................................................................................
              ....................................................................................
Post Code: ...........................     Tel: ..........................................
 
Please specify delivery address if different from above.  

 QTY  Prod/Code          Item Description

Price

Total

       £  £
       £  £
       £  £
       £  £
       £  £
       £  £
       £  £
       £  £
       £  £
       £  £
 Switch No. Yes/No
   
 Visa / MasterCard Yes/No
 Subtotal  £
 Cheque / P.O. Yes/No Start Date:    / Exp. Date:    /
 Vat  £
Declaration for Relief from VAT
I am chronically sick or disabled (as defined below) and am receiving from Med-Ecosse
Ltd the goods on the order form, which are for my personal or domestic use. I claim that
the supply of these goods is eligible for relief from VAT under the VAT Act 1994.
Disability: ........................................................................................................................
Signed: ...................................................................  Date: .............................................
 Post/Packing  £
 Total  £
 

 

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