New Client Additional Information
Date Field
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Which Services Do you Require?
Internet Connectivity
CCTV Security Cameras
Photocopier Machine
Foxibyte Software
Telephone System
Solar System
Website Development & Hosting
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Additional Notes | Requirements | Quantities
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Are you a Business? Please Select 1
Registered Business
Unregistered Business
Personal
If you are a Business, How long have you been trading for ?
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What is the Business Name / Name
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What is your Physical Address?
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Which City are you located?
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Email
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What is your Telephone Number?
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Contact Person Name
File Upload | Any additional Supporting Documents
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Installation Address
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By Submitting this Request, I agree to i-Net Telecom's Standard t's & c's found on www.i-nettelecoms.co.za
I Agree to the Standard t's & c's
I Disagree to the Standard t's & c's
Option 3
Submit
