Billing details

United Kingdom (UK)

United Kingdom (UK)

VAT Exemption

Criteria (please tick where relevant) – at least one box should be ticked, please read each statement carefully

I (full name),

of (full address)

declare that I am an eligible person under the criteria selected above and that I am receiving a standalone equipment service and ongoing services from Living Safely and Herts Careline.

NOTE – If you are unable to declare and sign this form the signature of a family member, guardian, doctor or another responsible person is acceptable.

Your order

Product Subtotal
Vivago Watch & Domi Kit  × 1 £362.49 (ex. VAT)
Vivago – monthly subscription  × 1 £58.33 / month (ex. VAT)
Subtotal £420.82 (ex. VAT)
Initial Shipment
VAT £84.16
Total £504.98
Recurring totals
Subtotal £58.33 / month (ex. VAT)
VAT £11.66 / month
Recurring total £69.99 / month

First renewal: June 24, 2024

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