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Your 56K Dialup Circuit
R 59.00
per month
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E-Mail Address
@cybersmart.co.za
Cellphone
Your password for this account will be sent to your cellphone, please make sure you enter your cellphone number correctly. Your cellphone number should only contain digits and no spaces (eg. 0832750616).
Personal Details
Full Name
ID Number
Please provide both your first name and your last name.
Telephone
Fax
Telephone and fax numbers should not contain spaces and must contain the region code (eg. 0214600402).
Street Address
Postal Address
Bank Details
Bank Name
Account Number
Account number must contain digits only.
Branch Code
Standard Bank customers please remove the last two digits from your 8 digit branch code, ie use the first 6 digits.
Account Type
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Savings
Current
Terms and Conditions of services All prices are VAT inclusive. Payment is by debit order only and in advance for the services that you receive. The debit order will be processed on the first working day of every month. Failed debit orders carry a penalty of R50 which will be levied against your account. Even though your subscription is collected via debit order, you will receive an invoice via email for your records.Should your debit order fail, your services will be disabled immediately and you will be required to pay your arrears, the R50 debit order penalty as well as deposit an amount equal to your monthly dialup subscription before your service is re-enabled again. The deposit required will double every time your debit order fails. The deposit will be refunded, interest free on termination of the service. If you do not use your dialup service in the month this does not entitle you to stop your debit order, your dialup monthly subscription is payable irrespective of whether you use your dialup service or not or whether your service is disabled or not and the monthly amounts will continue to accrue against your account until the service is cancelled.By successfully completing this form you are electronically signing the debit order instruction below. You will be sent a copy of this debit order instruction to your cybersmart email address for your records. We require that you return this document by fax to (087) 625 0003 or (021) 461 0015, so we can give it to the bank for their records. Section 39.1 of the RICA Act (http://www.cybersmart.co.za/rica/#informationtobeobtainedandkeptbycertaintelecommunicationserviceproviders) requires us to keep a copy of your identity document and proof of residence. Any document showing your street address such as your Telkom Account, Rates/Electricity Account, bank statement, SARS IRP5/6 form can be use ad proof of residence. Please fax these documents with the debit order instruction. Should you not return these documents, your account will be disabled, however the debit order instruction will still remain in force until you cancel your account by following the cancellation procedure shown below or until our systems detect that your account has been disabled for more than two months. You are required to give Cybersmart 1 calendar months notice when terminating a service. For the absence of doubt examples are given. Should you cancel your service on the 1 July, you will be required to pay for both July and August months. If you cancel your service on 15 July,you will be required to pay for July and August months. If you cancel your service on 31 July, you will be required to pay for July and August months. A service can only be cancelled by FAXING it to (087) 625 0003 or (021) 461 0015. On the cancellation FAX you must include the following: Your name and ID number, your ADSL account name and a copy of your ID. This copy of your ID is required as it is compared to the earlier ID document received in the application - this prevents a person maliciously cancelling someone else's service. Please make sure that you keep the confirmation of receipt produced by your FAX machine as proof of cancellation date. You may not sign up for multiple accounts using the same bank details. For the protection of all customers, should you fraudulently enter bank details not belonging to yourself, Cybersmart will a) lay criminal charges against you. b) prevent you from subscribing to this service again You will be billed for the full month irrespective of when you sign up. For the absence of doubt examples are provided. If you sign up on the 1 July, you will be billed for the full month of July. If you sign up on the 15 July you will be billed for the full month of July. If you sign up on the 31 July, you will be billed for the full month of July and then again for the full month of August. Cybersmart scans emails for both viruses and unsolicited bulk email (SPAM). Cybersmart will not be held liable should an email be erroneously blocked as SPAM. Further, Cybersmart uses a third party virus scanner in order to scan for viruses. Only viruses that are known by this scanning software can be blocked. Cybersmart will not be held liable for any damage caused by a virus that was unable to be blocked by the virus scanner. A customer is prohibited from sending unsolicited bulk email.
I have read, understood and accepted the Terms and Conditions.
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