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PERSONAL DECLARATION

I declare that I am chronically sick or have a disabling condition as described below.
I am claiming that I am entitled to receive wigs/hairpieces from :

Kristina Young Hair Additions,
37 Elmleigh,
Midhurst,
West Sussex,
GU29 9EZ,
United Kingdom

At zero-rate due to medical exemption whilst my condition remains.

Sunday,Monday,Tuesday,Wednesday,Thursday,Friday,Saturday
January,February,March,April,May,June,July,August,September,October,November,December
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