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Please make sure all required fields are filled in. Required fields are marked with an asterix. (*)
Please note: By filling in the below form, you are confirming consent to your personal data being processed for the Solid Fibre order form purpose as described below. Please make sure all required fields are filled in. Required fields are marked with an asterix. (*)
We as a company would prefer you to sign up with our Debit order facility. It makes our lives a lot easier and will assist us to provide the service that you would like to receive, If you opt for the EFT option. Please note we will charge an additional R50.00 for Administration purposes. If Payment has not been received by the 1st of the billing month your account will be suspended and once payment has been received we will charge you a reconnection fee of R150.00.These fee's do not apply with our debit facility we would advise you to select this option. Only in a case where your debit order bounces the reconnection fee will apply.
Please provide us with the correct banking details:
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