THE NATIONAL LIGHT HIRE COMPANY - ORDER FORM
Press FILE then PRINT on your computer to print out a copy of this form.

QUANTITY DESCRIPTION PURCHASE RENTAL PRICE
         
         
         
         
DELIVERY and INSURANCE (UK Mainland only) please add £10
Next Day delivery please add £6
VAT at 17.5% (unless exempt)
TOTAL PRICE

Please telephone - 00 44 1704 501363- for quotation on deliveries outside the UK.

I enclose cheque/money order (payable to The National Light Hire Company) for the amount __________  

Or please charge my Mastercard __  Visa __  Switch __  American Express __  Solo __  

Full name on card _____________________________________

Start date _____________________ Expiry date _____________________

Card Number __________ | __________ | __________ | __________

Security code (last 3 digits of numbers on reverse of card) _______

Issue number (Switch only) ________

****VAT at 17.5% must be added unless exemption form below is completed.****

AIDS FOR HANDICAPPED PERSONS - SUPPLY TO AN INDIVIDUAL (SAD LIGHTBOXES ONLY)
NATURAL ALARM CLOCKS OR ACNE BOXES DO NOT QUALIFY FOR VAT EXEMPTION.
(all sections below must be completed)

Full Name   _______________________________________________

Full Address _______________________________________________

                     _______________________________________________

                     _______________________________________________

Post Code   _____________________

Telephone Number   _____________________

Please send the completed form to this address:
The National Light Hire Company, 'Rutlands',
2b Hartwood Road, Southport, MERSEYSIDE. PR9 9AA [UK]
Or FAX the completed form to (01704) 501363.

I declare that I am an eligible person under paragraph 1 of VAT leaflet 701/7/86, that I am suffering from SEASONAL AFFECTIVE DISORDER(SAD) and that I am receiving from:
The Sad Light Hire Company Limited (Trading as The National Light Hire Company) of 2b Hartwood Road, Southport, Merseyside PR9 9AA
the following goods which are being supplied to me for domestic or my personal use: PHOTOTHERAPY TREATMENT UNIT (SAD LIGHT BOX) and I claim that the supply of these goods or services is eligible for relief from value added tax under group 14 of the Zero Rate Schedule to the Value Added Tax Act 1994.