LTE Application

Full Name *

Phone *

Email Address *

ID/Passport Number *

IDPassport

Full Name *

Phone *

Email Address *

ID/Passport Number *

IDPassport

Address *

Select ProvinceGautengEastern CapeFree StateKwaZulu-NatalLimpopoMpumalangaNorth WestNorthern CapeWestern Cape

Company Details *

Company Address *

Select ProvinceGautengEastern CapeFree StateKwaZulu-NatalLimpopoMpumalangaNorth WestNorthern CapeWestern Cape

Include Router R2300

NoYes

Package Selection

Select PackageLTE40/40 - R260LTE90/90 - R450LTE130/130 - R690LTE200/200 - R780LTE300/300 - R1050*Uncapped Lite 10Mbps - R750**Uncapped Premium 25Mbsp - R1100

Delivery Fee

R250

Failed deliveries will incur a new delivery fee of R380

As per Rica requirements, please supply the following documents for verification

ID Document

Proof of Residence

Company Registration

Proof of Bank