C-Way Ermelo Wireless New Customer Sign-up

C-Way Ermelo Wireless New Customer Sign-up

Please complete all required fields
Did a C-Way Representative complete a Sight Survey or visit to your house already?*

YesNo
Date when site visit was completed*

DayMonthYear
Date

Application Type*

IndividualBusiness
Name*

First NameLast Name
SA ID No (Copy of ID Required)*
Upload SA ID Document*

Cancelof
Phone Number*
Alternative Number*
Email*

Confirmation Emailexample@example.com
Street No*
Street Name:*
Suburb*
City/Town*
Postal Code:*
Complex Name: (Optional)
Complex Unit No: (Optional)

Company Name
Registration No (Company Documentation required)
Vat Registration No
Upload Business Reg Documentation*

Cancelof
Upload Directors SA ID:*

Cancelof

My Products
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R1500 - Equipment Rental Option (Credit Verification Required. Equipment remains property of C-Way)Rental option, you have no worries of equipment failure. We replace the equipment if lightning damaged free of charge. Note: For this option, a Credit Check will be done. All equipment remains our property and will be removed after contract ends. Minimum 5Mb line speed required. Terms and Conditions apply.
1,500.00ZAR



R3500 - Purchase the Equipment (No Credit Verification Required)Buy the equipment. No Credit Verification is required. Wireless Antenna, pole, bracket, with router and cable. The equipment has a carry-in warranty. All packages are available. We also require a One-Month refundable deposit.
3,500.00ZAR



I already paid. (Only applicable when already paid at our office)
FreeZAR Quantity



Total

0.00ZAR

Debit Order or Payment through the CWay App?

- Debit order is the cheapest. You complete the Bank Mandate and we do the rest. - Credit Card using our App or Portal, or Cash at one of our Branch Offices. We levy R50/month extra for any other than Debit Order payment.
Choose you preferred payment method?*

Debit OrderUsing the CWay App for Payment (Credit Card or Bank Transfer) or Cash when you are close to our branch offices.

Authority and Mandate for payment Instruction.

I authorize C-Way Computers to debit my account from the Banking details below:
Account holder Name and Surname*

First Name Last Name
Phone Number*
Please enter a valid phone number.
Address*
Bank Name*
Account No:*
Branch Code*
Bank Account Type:*
Amount to be deducted in South African Rand. Autofill from Line Speed Selection*
Choose your debit order day*

1st15th25th30th.

All the Legal but Important Stuff

We know hardly anybody reads the Terms and Conditions. Here is a summary of our T&Cs that you should take special note of and agree to. Please follow the link below to see the our complete Terms and Conditions.
Our Debit Order or Payment return Policy (Only applicable when using Debit Order Payment method)*

I agree that if my Debit Order return unpaid a R150 Admin Fee will be charged. If I return my debit order, a R200 Admin fee will be charged and a new bank mandate will have to be completed as per Bank requirement. All outstanding fees are payable before my account will be set to active
Our Cancellation Policy*

I agree an understand one Full Calendar month notice for cancellations (Not 30 days). Cancellations should be sent to accounts@c-way.co.za or cancel@c-way.co.za
Public Conduct of our Customers and our brand policy*

I understand and agree that C-Way does not allow cursing or threatening behaviour towards their Staff at any time, or diminishing the image of the C-Way brand on Social Media.
Connection Faults, connection quality and repairs policy.*

I understand and agree, Internet Services are a collective effort from many role players working together and 24/7/365 days service rendering cannot be warranted. I understand that C-Way cannot be held responsible for outages in isolation from other role players.
Free Installation Option policy: (Only applicable if "Free Installation" was your choice)*

I agree and understand that if I choose the "Free Installation" option, the equipment remains the property of C-Way. Should we not be able to retrieve our equipment after cancellation, I will be invoiced for the Retail price of the equipment.
Customer's Credit Check Consent*

I consent to C-WAY COMPUTERS carrying out a credit check on me at any applicable credit bureau and may make the provision of the Goods or Services dependent on its satisfaction with the results.
Non-Refundable registration fee included in my price.*

I understand that C-Way charge a R250 non-refundable processing fee on all sign-ups. This fee is already included in the price I will pay at check-out.
Did anybody tell you or referred you to use our service?*

YesNo
Name and Surname of the person that referred you.*
Date

DayMonthYear
Date
Hour Minutes
I herewith confirm that all information furnished is correct and herewith sign and agree.*
Please note: A site visit is required before you can complete our online application form. Continue to press "Submit" to be taken to our Line of Sight request page.
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C-Way Ermelo Wireless New Customer Sign-up

Debit Order or Payment through the CWay App?

Authority and Mandate for payment Instruction.

All the Legal but Important Stuff

Please note: A site visit is required before you can complete our online application form. Continue to press "Submit" to be taken to our Line of Sight request page.