FAX to UPS
Form 10.3
To: Fax Number: 01332-815610
Tel: 01332-815614/815632
Attn: Claire Betteridge/Dean Tivey
e-mail: ukg1ccm@europe.ups.com
website: www.ups.com
Brokerage, UPS Building 106, Beverly Road, East Midlands Airport, Castle Donnington, Derby DE74 2TG
From:
Return Fax No:
Tel No:
E-mail:
Date:
Pages:
in all
__________________________________________________________________
10.3 Importation of goods for disabled persons: eligibility
declaration by an individual
UPS Tracking number ………………………………………………………………
10.3 Importation of goods for disabled persons:
eligibility declaration by an individual
I (full name ……………………………………………………………...………
of (address) ……………………………………………………………………..………
…………..………………………………………………………………………………………
declare that I am chronically sick or disabled by reason of
………………………………………………
and that I am importing a Sun Ancon Aerobic Exerciser (Chi Machine) from outside the
European Community for domestic or my personal use.
I claim relief from value added tax.
Signature…………………………………
p.p. …………………………….
………………………………… (date)
NOTE TO IMPORTER: If you are in any doubt as to whether you are eligible to receive goods
or services zero-rated for VAT, you should consult VAT Leaflet 701/7 or seek advice from your
local VAT office before signing the declaration — there are penalties for making false
declarations.
Special comments
In case of enquiry please contact the sender of this fax:
Name: …………………………………………... Tel: …………………………