Please complete the online form below, or you can download the application form:

MetroFibre Application Form PDF

 

    PROMO Code

    Primary Contact Information

    Full Name *
    Phone *
    Email Address *
    ID/Passport Number *
    IDPassport
    Address *

    Billing Contact Information

    Full Name *
    Phone *
    Email Address *
    ID/Passport Number *
    IDPassport

    Company Information

    Company Details
    Company Address
    ID Document
    Proof of Residence
    Company Registration

    Fibre Information

    Is Fibre Installation Required?
    YesNo
    Please confirm package type below

    MetroFibre Home Packages

    Please select the option that suits you best.
    Package Price Download Speed Upload Speed
    R520R695R870R930R1080 25Mbps75Mbps250Mbps400Mbps500Mbps 25Mbps75Mbps250Mbps400Mbps500Mbps

    DEBIT ORDER ONLY

    For Debit Order please complete the debit order mandate below.

    Authority and Mandate for payments Instruction: Electronic and Written Mandates

    Given By (Account Holder): *
    Address: *
    Bank Name: *
    Branch & Code: *
    Account Number: *
    Amount: *
    Account Type: *
    Contact Number: *
    Date: *
    Payment Instructions due in December may be debited against my account on: *

    This debit order mandate will be mailed to you for your records, please sign and return to home@activefibre.co.za.
    Abbreviated Name as Registered with the Bank: ACTIVE FIB