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

Vumatel 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
    If installed, please confirm object number / FSAN number / Unknown
    (If unsure don’t worry we will assist in finding this out for you)
    Please confirm package type below

    Vumatel Home Packages

    Please select the option that suits you best.
    Vumatel Home FIRST 60 DAYS
    Promo Price
    Applicable for New Installations ONLY    		 Standard Price
    AFTER FIRST 60 DAY PROMO    		 Speed Mbps
    R125R250         R449R589R449R589R699R709R889R1089R1289R1519 25/25Mbps50/25Mbps25/25Mbps50/25Mbps50/50Mbps100/50Mbps100/100Mbps200/200Mbps500/200Mbps1Gbps / 200Mbps
    *25/25 Mbps R125 for FIRST 60 days from activation, thereafter R449 – NEW INSTALLATIONS ONLY – T’s and C’s apply | * 50/25 Mbps R250 for FIRST 60 days from activation, thereafter R589 – NEW INSTALLATIONS ONLY - T’s and C’s apply | ** 1000/200 Mbps only in Gauteng and Surrounds

    PAYMENT TERMS - 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