Hey guys, thanks so much for helping me to set up our website. was expecting it to be a long tiresome and expensive process, but it ended up being quick and easy, and your customer service is seriously impressive! 
-- Simon van Wyk, The Brothers Streep

iBurst

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iBurst Order Agreement

Congratulations! you're one step closer to going wireless! Please complete the following form, and one of our broadband consultants will contact you shortly.

 Subscriber Details
 
Name / Company  
* 		Contact Person  
*
Company Reg. No  
 VAT No  
ID  
*
 
  Postal address same as Physical
Physical Address  
*		 Postal Address  
*
Code  
* 		Code  
*
Delivery address same as Postal
Delivery address same as Physical
Delivery Address  
*
Code  
*

I have been living at this address for   years
I am 
 
Tel No  
 Fax No  
Mobile No  
* 		E-Mail  
*
Website  
* Please complete
 
 Package
 
Option 1         30 day notice account and purchase the iBurst device cash

Monthly Subscription
 
Desktop Device (USB with Ethernet Port). R2839 once-off
USB Modem R1699 once-off
Webfone R2839 once-off
 
Option 2         24 month Contract (incl Monthly Subscription and Hardware)
         Please choose - For Personal Use For Business Use

Desktop (USB with Ethernet Port)
OR
USB Modem
OR
Webfone
 
 Activation Fee
 
Activation Fee R99
 
 Pay Per Use
 
Pay per Usage Yes No
All new iBurst Wireless, ADSL and HSDPA Packages are Pay-per-use by default. This means that when you have used up your allocated data bundle for the month, you will pay for any extra data you use at an out-of-bundle rate called Pay-per-use. Pay-per-use is charged per mb and rounded up to the nearest mb.You can also save money by buying bulk bundles of Pay-per-use data called Bandwidth boosters. On all iBurst Wirelss packages the PPU cost is 95c per mb.
 Extras
 
Network Coverage (view map)
* your coverage area where you will be using iBurst
Yes, I have checked the map and I have a good signal
Yes, I have checked the map but I would like to verify with a consultant
I have minimal signal and might need an external antenna
 
Hardware
I would like a wireless broadband router - R595
Omni Antenna for my Desktop Modem - R399
 
Extra Notes

Where did you hear about us?
 
 Bank Account Details
 
Bank
 Account Name
* IE: J Smith
Branch Name
 Account No
Branch Code
 Account Type
  
 Confirmation
 


*I/We, the undersigned, confirm the accuracy of the information contained in this document and warrant that I am duly authorised to sign on behalf of the subscriber. I acknowledge that I have read, understand and agree to be bound by the terms and conditions annexed hereto. I hereby authorize WBS to debit my bank account / credit card with the amounts which are due and payable in terms of this Agreement. I hereby consent to WBS performing a credit check on me/us if 24 month contract is selected. 
 

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