Please enable JavaScript in your browser to complete this form.Customer Ref *Job RefName *Agreement *I declare that I am chronically sick or disabled and that I am receiving the following goods/services from Des Gosling Mobility Ltd: a) The following goods are being supplied to me for domestic or personal use. b) The following services to adapt goods suit my condition. c) The following services of repair or maintenance of goods. Car Adaptions and associated Services. 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 Finance Act 1972.Submit
