Please complete the online form below, or you can download the Application and Landlord Agreement form:

Openserve Web Connect Fibre Application Form

    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

    Authorised Account Representative

    Full Name *
    Phone *
    Email Address *
    ID/Passport Number *
    IDPassport
    Customer Signature
    ID Document
    Proof of Residence
    Company Registration

    Service Selected

    Please select the option that suits you best.
    Package Price Download
    R300pmR370pm 20Mbps40Mbps
    FREE Installation; FREE Activation; FREE to Use Wifi Router; No Long Term Contracts ** - Landlord permission required - Installation/Activation 7-14 days from date of order - Billing is in advance month-to-month; Payment – Service is Uncapped; Unshaped; Pricing is inclusive of VAT; First payment due upfront prior to Installation and Activation of Service; Best Effort Solution, no credits for downtime - Cancellation: 1 x Calendar Month Written Notice - After-Hours Support Available – Weekdays 7 am to 10 pm / Public Holidays and Weekends 8 am to 2 pm - Terms and Conditions Apply

    PAYMENT TERMS - DEBIT ORDER

    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:
    This debit order should be processed on:
    of every month

    Upon activation of service, a pro-rata amount will be invoiced and debited within 1 to 2 days. Kindly ensure that sufficient funds are available to avoid any payment issues. Please note, in the event of a debit order rejection, an administration/reactivation fee of R79.99 (incl. VAT) will apply. Services will only be reactivated once full payment has been received.

    Additionally, as services are bandwidth-provisioned, monthly charges will still apply during any suspension period, and payments will remain due. Please note that no credits will be issued for any service downtime during suspension.

    Signature as used for operating on the account:


    Abbreviated Name as Registered with the Bank: ACTIVE FIB

    Signature