Primary Contact Information

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

    Delivery and Rica Address Information (Fixed LTE is not a roaming service)

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

    Company Information

    Company Details *
    Company Address *

    Fixed LTE WiFi Router

    Include Router R2300
    NoYes

    LTE Packages

    Package Selection

    Delivery

    Delivery Fee

    R250

    Failed deliveries will incur a new delivery fee of R380

    Rica Requirements

    As per Rica requirements, please supply the following documents for verification

    ID Document
    Proof of Residence
    Company Registration
    Proof of Bank