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

Openserve 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

    Openserve Home Packages

    Please select the option that suits you best.

    Package

    Price

    Download Speed

    Upload Speed

    R599R749R809R1199

    25Mbps50Mbps100Mbps200Mbps

    25Mbps25Mbps50Mbps100Mbps

    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