OpenConnect Application Form

Your Details

Personal and/or business information for your application.

1) Personal Details
Copies of ID + proof of banking details required
2) Business Details (if applicable)
Copies of business registration certificate + authorised representative ID + proof of banking details required
Cancel

Choose a Package

Select your internet package below.

3) Private Household Internet Package
Month to month contract · Installation R1,500 (includes managed Wi-Fi router) · 30 day cancellation notice.
4) Business Internet Package
Month to month contract · Once off installation charge of R4,000 (includes equipment)

VoIP Landline

Add a local 045 880 xxxx number. Requires SIP Phone.

5) VoIP Package (Landline)
Includes 045 880 xxxx number
Free Extension
FREE
Standard phone line
R50/month
Call Rates (for reference)
FREE
R0.40/min
R0.50/min
VoIP Equipment
Yealink VoIP Phone (Mono)
R1,130
Yealink VoIP Phone (Colour)
R1,650
Number Porting
Copy of paid up Telkom account required
R275

Debit Order

Authority / Mandate for debit order collection.

Account Holder
Bank Account Details

A. Authority / Mandate: Paper / Electronic

To: OPENCONNECT (PTY) LTD
Address: 4 ROBINSON ROAD, CATHCART, 5310
Abbreviated short name to be used: OPENCONNECT

I/We hereby authorise Netcash (Pty) Ltd to issue and deliver payment instructions to your banker for collection against my/our abovementioned account at my/our abovementioned bank on condition that the sum of such payment instructions will not differ from my/our obligations as agreed to in "the Contract Reference Number".

The individual payment instructions so authorised must be issued and delivered on the date when the obligation in terms of the Agreement is due and the amount of each individual payment instruction may not differ as agreed to in terms of the Agreement.

The payment instructions so authorised to be issued must carry "the Contract Reference Number", included in the said payment instructions, and must be provided to identify the specific contract. The said "Contract Reference Number" should be added to this form above before the issuing of any payment instruction and communicated directly after having been completed.

I/we agree that the first payment instruction will be issued and delivered on 1st of Each Month (date) and regularly on the first day of each month thereafter.

If however, the date of the payment instruction falls on a non-processing day (weekend or public holiday) I agree that the payment instruction may be debited against my account on the following business day.

Subsequent payment instructions will continue to be delivered in terms of this authority until the obligations in terms of the Agreement have been paid or until this authority is cancelled by me/us by giving you notice in writing of not less than one calendar month and sent by prepaid registered post or delivered to your address indicated above.

B. Mandate

I/we acknowledge that all payment instructions issued by you will be treated by my/our abovementioned bank as if the instructions had been issued by me/us personally.

C. Cancellation

I/we agree that although this authority and mandate may be cancelled by me/us, such cancellation will not cancel the Agreement.

I/we also understand that I/we cannot reclaim amounts, which have been withdrawn from my/our account (paid) in terms of this authority and mandate if such amounts were legally owing to you.

D. Assignment

I/We acknowledge that this authority may be ceded or assigned to a third party if the Agreement is also ceded or assigned to that third party.

Sign & Submit

Review, sign, and submit your application.

Signature
Sign in the box below using your finger or mouse.
Signature as used for operating on the account
I hereby agree to the above terms and conditions and confirm that all completed information is accurate.

Application Submitted

Thank you! Your application has been sent to OpenConnect Networks. We'll be in touch shortly to confirm your installation date.

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