Order Form Download the order form and send it to sales@fontel.co.za or alternatively you can Submit your Order online Download Order Form Title Name and Surname/Company Name * Phone Number * Email ID Number/Passport Number/Company Registration Number * Installation Address * Products(Contention Ratio do apply on all internet packages) * Up to 2Mbps @R250p/m (5:1)Up to 5Mbps @R350p/m (10:1)Up to 10Mbps @R450p/m (10:1)Up to 20Mbps @R650p/m (20:1)Up to 50Mbps @R850p/m (25:1)Up to 100Mbps @R1050p/m (50:1)VoIP Line Starter @R49.99p/mVoIP Line Basic @R95.00p/mVoIP Line Standard @R179.00p/mVoIP Phone @variable prices per set Voice Line geographic Code per 018014011012015Other Do you have existing Landline Number? Yes No Do you want to port your Number to Fontel Network? YesNo Number to Port and Service Provider Billing Agreement * Month to Month – Once off Installation fee worth R250024 Months contract – R1500 Once Off Installation and Setup Fee(only apply to 2Mbps and 5Mbps wireless packages)24 Months contract – Free Installation and Setup Fee(only apply to all fibre packages and 10Mbps wireless package and more) Payment Method * Debit Order (use and pay option)payment are debited on a selected debit dateVariable Debit Order(Only applies on a postpaid voice line)Direct Deposit(Pay as you use option)payment are due two days after service activation) Banking Details Debit Order/Payment Date 1st15th25thLast day of the Month By typing in your name in the box below, you Electronically sign and agree to the Electronic order, Credit Order, Direct deposit Mandate By typing your full name and surname in this box, you are officially signing the Electronic Mandate above, as well as our Terms of Service. The act of signing states that you agree to the Electronic Mandate and our Terms of Service in full and for every suspension due to non payment you will be liable for reconnection fee of R250. By clicking the ‘Submit’ button, you confirm that you have read and agree to the Fontel Terms of Service. For Voice application you must send your ID Copy and proof of residence for RICA purpose