FIBRE INTEREST FORM FTTH Interest form Please let us know which area you would be interested in for fibre to be installed: Click dropdown for options SefikikeSandfonteinWelgevalLeromeDikweipi Name * First Last * Last ID number * Email * Phone * Address * Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Which FTTH 12 Month Package would you be interested in? 10 MBPS 12 Months - R 399 20 MBPS 12 Months - R 699 30 MBPS 12 Months – R899 75 MPBS 12 Months – R1 199 100 MBPS 12 Months – R1 499 Which FTTH 24 Month Package would you be interested in? 10 MBPS 24 Months - R 349 20 MBPS 24 Months – R 649 30 MBPS 24 Months – R799 75 MBPS 24 Months – R1 099 100 MBPS 24 Months – R1 399 What is your preferred payment option for fibre installation? R1,399 once-off payment R550 per month for 3 months Submit If you are human, leave this field blank.