Please enter your details
Please ensure you have completed all the fields.
Please select your kit
*
Essential
Premium
Ultimate
First name
*
Last name
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address field
What's your location? Please note that outlying areas may incur additional costs.
*
Street Address
Street Address Line 2
City
Province
Postal Code
Does your home have single or three-phase electricity? Look at the circuit break named 'Main Switch' in your DB-board. If there is a single circuit breaker, there is single phase power. If there are three circuit breakers joined together by one switch, there is three phase power.
Not sure
Single Phase
Three Phase
Do you have prepaid electricity?
Yes
No
What type of roof do you have at home?
*
Not sure
Tiled
IBR (inverted Box Rib)
Kliplok
Corrugated iron
Do you need a COC for your current distribution board? A Certificate of Compliance (COC) is required to ensure that your DB is safe and compliant before installation takes place. If you don’t have one, we’ll happily do an assessment and provide one before installation day.
*
Not sure
Yes
No
Are you a Discovery Bank client?
*
Yes
No
Discovery Bank product
Transaction account
Credit Card
Suite
Discovery Card colour
Gold
Platinum
Black
Purple
Vitality Money status
Bronze
Blue
Silver
Gold
Diamond
How do you wish to purchase?
*
Financing
Straight
Revolving credit facility
What term are you applying for?
*
12
24
36
48
60
72
Do you have sufficient available balance?
*
Yes
No
Would you like to apply for a limit increase?
*
Yes
No
Identification/Passport Number
*
Your ID number will be used as a reference number to process your financing application. No pressure though, you have not agreed to anything.
*
I hereby confirm that I have read and accept the
Discovery terms
and the
Privacy Policy
.
Submit
Should be Empty: