Form custom contract

ACCOUNT HOLDER INFORMATION

Full name and surname or business name (required)

Full ID number or business registration number (required)

Business VAT number (if applicable)

Contact email address (required)

Alternative contact email address (optional)

Contact number (required)

Alternative contact number (optional)

ADDRESS INFORMATION

Unit number (if applicable)

Complex name / building name (if applicable)

Street number (required)

Street name (required)

Suburb name (required)

Town name (required)

Postal code (required)

PRODUCT INFORMATION

Please select the product you are applying for from the menu BELOW.

Business Wireless Internet

Please select the package you are applying for from the menu BELOW.

Wireless Business 50Mbps - R2999 per monthWireless Business 75Mbps - R3999 per monthWireless Business 100Mbps - R4999 per month

Please select the contract term you are applying for from the menu BELOW.

Month to month contract (30 days notice for cancellation)

Please click and select the equipment you are applying for from the menu BELOW.

Customer own equipment

Please click and select the installation cost you are applying for from the menu BELOW.

R999 once off - Labor and cable on tower mast

By clicking the submit button, you agree to our terms and conditions.