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Personal Details/h3>
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Residential Address/h3>
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Contact Details/h3>
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Email*
Package/h3>
Package*
Lite Surf @R299pm
Big Swell @349pm
Tidal Wave @499
Installation Address*
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Banking Details/h3>
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Preferred Debit Order Day*
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7th
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25th
30th
Declaration*
I/We the undersigned confirm the accuracy of the information contained in this application and warrant that I/we am/are duly authorized to sign on behalf of the Subscriber. I acknowledge that I/we have read, understood, and agree to be bound by the Standard Mthinte Terms and Conditions as well as Product Specific Terms and Conditions relative to the service rendered in terms of this agreement upon signature hereof. I/we am/are aware of the non-refundable setup fee and pro-rata amount applicable to the service applied for and accept that this amount will be debited from my account upon signature hereof. I/we hereby consent to Mthinte Communications (PTY) Ltd performing credit clearance verification and consent to the sharing of personal and or business entity credit information. I/we further acknowledge that the activation of all services is subject to RICA and all other legal requirements as governed by law.
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