Order Form Name(Required) First Surname Contact Number(Required)Email(Required) Complex Name(Required)Unit NumberSelected Package(Required)Select Package5/5 mbps (Pensioners only) - R29910 mbps - R34915 mbps - R39930 mbps - R44950 mbps - R549100 mbps - R699Preferred Installation Date(Required) DD slash MM slash YYYY Preferred Installation Time Hours : Minutes AM PM AM/PM
