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

Openserve 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 supply your Circuit Number:
    When do you require the service to be activated (if installed already):
    Please confirm package type below
    ** Services cancelled prior to the initial 6 months minimum commit will be billed R750 Including VAT for an early cancellation **

    Openserve Home Packages

    Please select the option that suits you best.
    Package Price Download Speed Upload Speed
    R689R799R929R1249 50Mbps100Mbps200Mbps300Mbps 25Mbps50Mbps100Mbps150Mbps

    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: *
    Account Type: *
    Contact Number: *
    This debit order should be processed on:
    of every month

    Upon activation of service, a pro-rata amount will be invoiced and debited within 1 to 2 days. Kindly ensure that sufficient funds are available to avoid any payment issues. Please note, in the event of a debit order rejection, an administration/reactivation fee of R79.99 (incl. VAT) will apply. Services will only be reactivated once full payment has been received.

    Additionally, as services are bandwidth-provisioned, monthly charges will still apply during any suspension period, and payments will remain due. Please note that no credits will be issued for any service downtime during suspension.


    Signature as used for operating on the account:


    Abbreviated Name as Registered with the Bank: ACTIVE FIB