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Download fax registration form here
  

Please complete the following to register
(Step 1 of 3)
 
I am a
 
   

Enter the number of phones you wish to order below.
 
PRODUCT DESCRIPTION COST QUANTITY
Vox ADSL Supafone/s
R 25 pm + minimum R 200 talk time pm
R 300-00 each

OPTIONAL ACCESSORIES

 

 
Extra Handset/s & Charger/s (R 20,00 per month)  R 60-00 each
     
 TOTAL:   R
 
 
   
Title:
First Name:
Last Name:
ID/Passport Number:
Please supply at least one contact telephone number:
Tel:
Cell:
Email:
Confirm Email:
Please create a login password:
Confirm password:
 
 
Make sure you get your stuff! Give us an address where you will be able to take delivery during office hours.
 
Delivery Address
 
Address 1:  
Address 2:
Suburb:  
City:  
Postal Code:  
Province:  
 
 
Account Type:
 
Bank:
 
Branch Name:
 
Branch Number:
 
Account Holder:
Account Number:
 
Your monthly annuity usage and rental billing is payable by debit order only.

YOUR ACCOUNT WILL BE DEBITED WITH R 300-00 PER PHONE
 

  I agree that I have read the Terms and Conditions and that all my info is correct and hereby grant Vox Telecom Pty Ltd authority to debit my / our account with amounts payable by me / us. I understand that I need ADSL to use the phone and confirm that I ether already have ADSL or am planning to get ADSL and that I will be charged at R25pm plus minimum R200pm usage even if I don’t have ADSL.

 
How would you like to pay for online purchases?
 



  

 
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