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Wireless Business Signup
Wireless Business Signup Form
Please complete the application form below and we will get you online as soon as possible.
View our service agreement terms and conditions
If you are human, leave this field blank.
Name
*
Surname
*
Id Number
*
Email Address
*
Phone Number
*
Alternative Phone Number
Installation Address
*
Billing Address
*
Package Required
*
Package Required
10 Mbps Wireless - R1150 pm x12
20 Mbps Wireless - R1750 pm x12
50 Mbps Wireless - R4550 pm x12
10 Mbps Wireless - R950 pm x24
20 Mbps Wireless - R1450 pm x24
50 Mbps Wireless - R3500 pm x24
Contact Term Options
*
Contact Term Options
Month to Month - Installation cost dependant on equipment
12 Months - Installation cost dependant on equipment
24 Months - Installation cost dependant on equipment
Accept Terms And Conditions (View Below)
*
Accept Terms And Conditions (View Below)
Yes
No
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