Vumatel order form
Name
*
First Name
Last Name
Company name
Optional (For business)
Installation address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
ID or Passport Number
*
Email
*
example@example.com
Invoice made out to
Optional (For business)
Vat number
Optional (For business)
Phone Number
*
Please enter a valid phone number.
Payment method
*
Debit order
EFT
Installation: free Ruijie Router: R780.00
1) Router payable within 24 hours of installation. 2) Pro-rata services to be paid within 24 hours of receiving the invoice. (Bank details below) 3)First 30m of cabling is free, a quote will be provided by the contractor for any excess cabling required. 4)All Monthly Subscriptions are due in advance and by the 1st of every month.
Please tick your chosen package below:
*
30/30mbps @ R488pm
50/25mbps @ R628pm
50/50mbps @ R838pm
100/50mbps @ R888pm
100/100mbps @ R938 pm
200/200mbps @ R1048 pm
Signature
NEDBANK ACCOUNT DETAILS
Account Name: Crimson Moon Trading CC Account Number: 1069761036 Branch Code: 198765
Submit
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