Additional Connection &
Re-activation Form

* Company/Customer’s name must be the legal name of a Company or Person for registration purposes

Standard terms & conditions for online services as per original signed contract apply

The subscription will be added on the standing debit order that was signed with the original contract.

Once-Of cost for standard equipment or for premium class/SkyFibre equipment if(subject to availability in your area)

Installation & equipment as per original signed contract, package & payment options as per original signed contract.

Choose one of the following packages

° Standard once-off equipment installation cost at R 2,500.00 required.

° Standard equipment installation cost with high power router for larger premises at R 3,300.00 required.

• Premium class equipment installation recommended – POR (subject to availability in your area).

• Premium class equipment installation required – POR (subject to availability in your area).

SkyFibre equipment installation required – POR (subject to availability in your area)

I/We warrant that I/we accept Letaba Wireless Internet CC’s standard terms and conditions and Acceptable Use Policy (AUP) available online at
letaba.net for online services as per original contract signed. I/We warrant that I/we accept the installation & equipment agreement, package &
payment terms and debit order agreement as per original contract signed with Letaba Wireless Internet CC.