ftth-order-form-evotel Evotel Order Form Step 1 of 4 25% Fibre Package DetailsPackageEvotel Uncapped Home Fibre Packages * Uncapped Data * Unshaped Data * No FUP * Free Wifi RouterEvotel 5/5 Home Uncapped - R479.00Evotel 10/10 Home Uncapped - R649.00Evotel 20/20 Home Uncapped - R892.00Evotel 50/50 Home Uncapped - R999.00Evotel 100/100 Home Uncapped - R1299.00Evotel 200/200 Home Uncapped - R1999.00 If you cancel/move your service within 12 months, the R1008.00 activation fee becomes payable. R650 router cost is payable if your service is cancelled within 12 months. The Installation fee does not apply if you already have a fibre line installed. One calendar month notice period is needed for the cancellation of your services. All cancellations have to go to email@example.com in order to be processed. Moving is treated as a cancellation as your Fibre cannot be moved and is fixed to the premises, should the next tenant take over your service, we will transfer the service at no cost to you. Contact firstname.lastname@example.org if this is the case. If your service is cancelled due to non-payment, you are liable for the R456 reconnection fee. It may take up to 72 hours for your service to be re-activated.Once Off Installation Fee Price: R2,415.00 Free Wifi Router Price: R0.00 Customer DetailsPlease complete some basic information about yourself below to set up your order.First Name*ID Number / Passport*Alternative Number*Surname*Mobile Number*Email* Please upload a copy of your ID File uploadAccepted file types: jpg, pdf.To make the process as seamless as possible, please upload a clear copy of your ID. If you don't have a copy of your ID now, one of our sales representatives will contact you to get this at a later stage Installation Address DetailsPlease complete some basic information about your installation. Fibre installation taking place at*HomeEstateComplexAddress*Unit NumberStreet Number*SuburbCity - Other*Complex / Estate NameStreet Name*City*OtherJohannesburgCape TownPostal Code*Is the router delivery address the same as your installation address?*YesNo* Router will be delivered between 8am-5pm on business daysDelivery Address Type*HomeEstateComplexBusinessBusiness NameUnit Number (if applicable)Street NumberSuburbPostal CodeEstate / Complex Name (if applicable)Street NameCityOtherJohannesburgCape TownPretoriaDurbanCity - Other Payment DetailsWe use Rapid SSL to safeguard your privacy and protect your personal information.Payment Method (by debit order) Only start paying after installation.Account Name*Account Number*Branch Name*Bank Name*ABSA BankAlbaraka BankBidvest BankCapitecDiscovery BankFirstRand BankGrindrod BankHBZ BankHabib Overseas BankInvestecMercantile BankNedbankSasfinStandard BankSouth African Bank of AthensTyme DigitalUbankAccount Type*CurrentSavingTransmissionDebit Order Acknowledgement* We acknowledge Sage Pay will debit our bank account in favour of Business Services on the 1st working day of each month under this agreement Terms&Conditions* I have read the Terms and Conditions NameThis field is for validation purposes and should be left unchanged.