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Fibre Application Form

Choose the perfect package and complete your application in just a few minutes.

1
Applicant
2
Package
3
Debit Details
4
Consent & Apply
Account Holder First Name *
Account Holder Last Name *
Account Holder Email Address *
Account Holder Phone Number *
Account Holder WhatsApp Number *
Street Address *
Address Line 2
City *
State / Province / Region *
ZIP / Postal Code *
Choose your package *
Backup Battery UPS @ R80 pm (Optional)

Endless Inclination (Pty) Ltd
2019/355699/07
VAT: 4310306347
087 550 0635
info@endlessinclination.co.za

ID Number / Registration Number *
Bank Name *
Branch Code *
Account Number *
Type Of Account *

Abbreviated Shortname as registered with the acquiring bank: ENDLESSINC

Refer to our Contract Reference Number Provided By Endless Inclination *
Please provide us with the reference number that Endless Inclination provided. [EIXXXX]
First Payment Delivery Date *
Select the date when the first payment will be delivered
Day Of Payment For Each Month *

Before I agree, I note the following terms of the Terms & Conditions:

  • Equipment risk. From delivery, I carry the risk of damage to, or loss or theft of, the equipment. Damage to a free-to-use router or Air Fibre dish caused by lightning, electrical surges, loadshedding or physical damage is my responsibility.
  • Leased equipment. If the agreement is cancelled and leased equipment cannot be collected, or has been damaged or removed, I will be invoiced for the full cost of the equipment plus the relevant charges.
  • Call-out fees. Tampering with, misusing or damaging the equipment results in a call-out fee, and I am liable for the repair or replacement cost.
  • Interruptions. Endless Inclination is not liable for interruptions where access to the equipment is not provided or Emergency Maintenance is required, or for poor performance caused by illegal streaming websites or services.
  • Non-payment. Services may be suspended if an invoice is unpaid for longer than 3 days. A reconnection fee is payable before the service is unsuspended (Air Fibre minimum R350.00), admin fees may be charged, and reconnection may take up to 72 hours. A suspension longer than 90 days results in automatic cancellation.
  • Cancellation. A calendar month’s written notice of cancellation is required. A term contract must run for its full term, and a penalty fee is payable for early termination.
Terms & Conditions *
Equipment Terms & Conditions *
Debit Order Terms & Conditions *
Signed At *
Signed Date *
Signature *
Clear