New Client Registration

Bakwena Telecoms Subscriber Application Form

Client/Account Information

Name / Business Name:*

Surname:*

ID Number / Business Registration No:*

VAT No: (If Applicable)

Cellphone:*

Alternative Cellphone:*

Installation Address

Street Address:*

Street Address Line 2:

City:*

Province:*

Area Code:

E-mail address:

example@example.com

Same as above

Name / Business Name*

Surname*

Street address*

Street address line 2

Province:

City:

Area Code:

1st of the Month16th of the Month27th of the Month

Upload Cert ID /Company Registration:

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Installation & Equipment

*Installation Fees may differ due to availabilty & Standard Equipment Terms & Cost's

* Please see our full T&C's on our website

° Standard Once-off Equipment & Installation fee of R999 for Wonke Wonke packages (Equipment is Owned by Bakwena Telecoms for duration of use)

° Standard Once-off Equipment & Installation fee of R1500 for Air Fibre packages (Equipment is Owned by Bakwena Telecoms for duration of use)

° No Installation fee for Openserve Fibre Covered areas. An activation fee maybe applicable.

Choose Your Package Below:

I Client/Representative accept the above terms and conditions which can be viewed on the Bakwena Telecoms website

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