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

OpenServe Web Connect Air Application Form  OpenServe Web Connect Air Landowner Permission Form

    PROMO Code

    Primary Contact Information

    Full Name *
    Phone *
    Email Address *
    ID/Passport Number *
    IDPassport
    Address *
    Staying in Main House or Cottage *
    GPS Coordinates *

    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
    Landlord Agreement form *

    SERVICE SELECTED

    Please select the option that suits you best.
    Package Price Download
    **Upgrade/Downgrade Fee** R395pmR470pmR560pmR195 10Mbps20Mbps30Mbps 
    • FREE Installation • FREE Activation • Any damage to Dish / Wireless Hardware will incur a cost of R2500 upfront • No Long Term Contracts • Landlord permission required • Installation/Activation 7-14 days from date of order • Service offering is Feasibility Dependent • 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 • Trenching over 8M will incur a fee of R180 per meter if applicable • Re-Installations are billable (R1250 inclusive of VAT) • Cancellation: 1 x Calendar Month Written Notice • After-Hours Support Available – Weekdays 7 am to 10 pm / Public Holidays & 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:

    Debit Order will be processed on 1st Working Day of every month.

    Abbreviated Name as Registered with the Bank: ACTIVE FIB

    This signed Authority and Mandate refers to our contract (“the Agreement”)dated:

    • 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.
    I have read and accept the Active Fibre Debit Order Mandate Terms & Conditions.
    Signature of the duly authorised account holder and operator:

    This debit order mandate with all terms and conditions will be mailed to you for your records.


    Signature *