Customer Information

Your Email

name & surname

SA Identification Number

Cell Number

Alternative Contact Number

Installation Address

Company Information(Business Customers Only)

Company Name

Billing Contact

Company Registration Number

Company VAT Number

Wireless Internet Packages

Packages - monthly contract
---Up To 8 Mbps 10 GB (R150,00)Up To 8 Mbps 20 GB (R250,00)Up To 8 Mbps 50 GB (R350,00)Up To 8 Mbps 100 GB (R450,00)Up To 8 Mbps 150 GB (R550,00)Up To 8 Mbps 200 GB (R850,00)2 Mbps *100GB Softcap Uncapped (R450,00)2-4 Mbps *100GB Softcap Uncapped (R500,00)3-6 Mbps *100GB Softcap Uncapped (R600,00)4-8 Mbps *100GB Softcap Uncapped (R700,00)5-10 Mbps *100GB Softcap Uncapped (R800,00)2-4 Mbps *500GB Softcap Uncapped (R600,00)3-6 Mbps *500GB Softcap Uncapped (R800,00)4-8 Mbps *500GB Softcap Uncapped (R1000,00)5-10 Mbps *500GB Softcap Uncapped (R1200,00)5-12 Mbps *500GB Softcap Uncapped (R1800,00)

special instructions

Installation

installation once-off payment *In Town R3000
*Rural Connection R3500

installation type
TAKE-OVER(no installation required)STANDARD WIRELESS INSTALLATION

installation special instructions

Free email address

Debit Order Instructions

Debit Order Mandate:
I hereby authorise WikiWorx to draw against my account on the 1st day ("payment day") of each and every month commencing as stipulated in this contract. In the event that the payment day falls on a Saturday, Sunday or recognized South African public holiday, the payment day will automatically be the very next ordinary business day. Further, if there are insufficient funds in the nominated account to meet the obligation, you are entitled to track my account and re-present the instruction for payment as soon as sufficient funds are available in my account;

I hereby agree to the debit order mandate

account name

bank name

branch name

branch code

account number

account type
---Cheque accountSavings account

Debit order ammount

Terms and Conditions

By marking your selections below you acknowledge that you read and understood the Code of Conduct and the Acceptable Use Policy and Complaints procedure

I have read and agree to the WikiWorx - Code of conduct

I have read and agree to theAcceptable Use Policy

I have read and agree to theComplaints Handling Procedure