My Mail
My Account
Gateway to S.A.
Our Clients
Acceptable Use Policy
FAQ
Jobs
ISPA
T & C
Code of Conduct
Please complete the following form. All fields are required.
Client Details
Title Surname
Full Names Initials
ID or Company Reg Number Date Service Required
Company Name (or Private) If Company, supply VAT No
Postal Address Street Address
Postal Code Postal Code
Telephone (business)   Telephone (home)  
Fax   Cellphone
 
Required Services
56k Analogue Dial-Up (incl 1 x Email Address) X Quantity:
64k ISDN Dial-Up (incl 1 x Email Address) X Quantity:
128k ISDN Dial-Up (incl 2 x Email Address) X Quantity:
2 Gbyte ADSL Subscription (incl 1 x Email Address) X Quantity:
3 Gbyte ADSL Subscription (incl 2 x Email Address) X Quantity:
4 Gbyte ADSL Subscription (incl 2 x Email Address) X Quantity:
VSAT Subscription (incl 2 x Email Address) X Quantity:
Additional Email address(es) X Quantity:
Webmail, Virus + Spam control on Emails X Quantity:
Total amount per month R
Which email addresses do you require?
(press 'Enter' after each address)
 
Debit Order Instruction
Account Name
Bank Name Branch Name
Account Number Branch Code
Type of Account