Please complete the online form below, or you can download the application form:

Zoom Fibre Application Form PDF

 

    Promo Code

    Primary Contact Information

    Full Name *
    Phone *
    Email Address *
    ID/Passport Number *
    IDPassport
    Address *

    Billing Contact Information

    Full Name *
    Phone *
    Email Address *
    ID/Passport Number *
    IDPassport

    Company Information

    Company Details
    Company Address
    ID Document
    Proof of Residence
    Company Registration

    Fibre Information

    Is Fibre Installation Required?
    YesNo
    If installed, please confirm object number / FSAN number / Unknown

    If Fibre is installed:

    Please upload a picture of the Front of the Box
    Please upload a picture of the Back of the Box

    Zoom Fibre Home Packages

    Please select the option that suits you best.
    Zoom Fibre Home FIRST 60 DAYS
    Promo Price    		 Standard Price
    AFTER FIRST 60 DAY PROMO    		 Download Upload
    R225pmR382pmR526pmR654pmR756pmR875pm R265pmR449pmR619pmR769pmR889pmR1029pm 15Mbps30Mbps50Mbps100Mbps200Mbps500Mbps 15Mbps30Mbps50Mbps100Mbps200Mbps250Mbps
    Standard pricing will be billed after 60 days; Free Installation; Free Activation; FREE to Use Wifi Router; No Long-Term Contracts; Billing is in advance month-to-month; Payment (Debit Order ONLY) Uncapped; Unshaped; NO Fair Usage Policy (No FUP); Pricing is inclusive of VAT; First payment due upfront on Activation of Service; Best Effort Solution, no credits for downtime; Orders cannot be processed without the Landlord/Land Owners Permission; After-Hours Support Available – Weekdays 7 am to 10 pm / Public Holidays and Weekends 8 am to 2 pm

    PAYMENT TERMS - DEBIT ORDER ONLY

    For Debit Order please complete the debit order mandate below.

    Authority and Mandate for payments Instruction: Electronic and Written Mandates

    Given By (Account Holder): *
    Address: *
    Bank Name: *
    Branch & Code: *
    Account Number: *
    Amount: *
    Contact Number: *
    Date: *
    Signature as used for operating on the account:


    Abbreviated Name as Registered with the Bank: ACTIVE FIB

    LANDOWNER CONSENT FOR INSTALLATION OF ZOOM FIBRE EQUIPMENT

    permission to Zoom Fibre equipment on the premises and for future usage of the installed equipment for the telecommunication/communication purposes. The Fibre equipment is the property of Zoom Fibre and not to be removed or repaired by any other parties other thank Zoom Fibre and their approved Contractors.

    The Landowner/Customer acknowledges that ownership of the Fibre equipment will always remain vested in the Tenant and/or its associated companies. The Landowner/Customer consents not to attach such wireless equipment and relinquishes its right to the “Landlord’s Hypothec”.

    All equipment has been approved by the Independent Communications Authority of South Africa (ICASA).

    Landlord Signature:
    Landowner Contact Details:
    Full Name: *
    Contact Details: *
    Email: *
    Building Name:
    Physical Address: