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

MetroFibre Application Form PDF

 

    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
    If Fibre is not installed, installation fees may apply:

    Town House: R862.50 Once Off
    Free Standing: R1150.00 Once Off
    Agricultural Plot: R2300.00 Once Off

    Please confirm package type below

    MetroFibre Home Packages

    Please select the option that suits you best.
    Package Price Download Speed Upload Speed
    R695R795R920R1040R1160 25Mbps50Mbps100Mbps200Mbps300Mbps 25Mbps50Mbps100Mbps200Mbps300Mbps

    Payment Options

    Please select your payment option
    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: *
    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: B2ETECH