LTE Form - Advanced Telcoms

Advanced Mobile Application Form

Name

Last Name

ID NUMBER

Cellphone number

Data Package

Address line 1

Address line 2

Province

Postal code

Bank Name

Account Number

Account Holder

Payment method

Terms

* Terms and conditions - See below

Terms and Conditions

*Your account will be debited before delivery for the amount of R99 for activation and delivery.

* In partnership with Vodacom SA.

* Offer subject to 24 month contract.

* Automatic 6 month contract renewal if not cancelled before the end of initial 24 months.

* All prices are excluding VAT.

* 5 – 7 working days delivery once application approved