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


    Pre Orders for Wireless Internet Promo Pricing

    Please select the option that suits you best.

    Package

    Price

    Download

    R640R690

    20Mbps30Mbps

    Promo is valid till 30 September 2024 | This includes all equipment and free installation | Subject to feasibility, confirm upon installation | Free to use WiFi Router
    Month to Month Service. 1 Calendar Cancellation Notice | Installation 7-14 days from date of order | Terms and Conditions Apply


    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: *

    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 sales@activefibre.co.za​.

    Abbreviated Name as Registered with the Bank: ACTIVE FIB


    LANDOWNER CONSENT FOR INSTALLATION OF WIRELESS EQUIPMENT

    Please download the Landowner Permissions form by clicking the button below.

    Active Fibre Deneysville Wireless Internet Landowner Permission

    This form must be completed by the Landowner and Uploaded here.