Account Type Account Type Private Business

Business Name

VAT Number

Name

ID Number

Email Address

Phone Number

Do you live in a complex? Do you live in a complex? No Yes

Complex Name

Unit No

Floor No

Street Name & Number

Required Service Required Service50/25Mbps - R590 p/m50/50Mbps - R690 p/m100/50Mbps - R790 p/m100/100Mbps - R890 p/m200/100Mbps - R990 p/m200/200Mbps - R1090 p/m300/150Mbps - R1250 p/m500/250Mbps - R1390 p/m

Router Options Router OptionsI have my Own Router (Must be a router with an Ethernet WAN Port, LTE and DSL routers will not work)Standard Wireless Router - R990.002 Way Mesh System - R1790.003 Way Mesh System - R2590.00

Debit Order Debit Order I/we, the undersigned hereby accept the standard conditions of agreement and indebtedness to Tele Internet (Pty) Ltd (PARYS Internet) unconditionally and hereby give authorization to Tele Internet (Pty) Ltd (PARYS Internet) to debit my Bank Account for the initial amount due as well as for future charges due under this contract on the date as specified above

Bank Name Bank NameABSA-632005African Bank-430000Capitec-470010Discovery-679000FNB-250655Investec-580105Mercantile Bank-450105Nedbank-198765Peoples Bank-147105Postbank-460005RMB-250655Standard Bank-051001Tyme Bank-678910

Bank Account Number (We Cannot process payments on Credit Cards)

Bank Account Type Bank Account TypeCurrent / ChecqueSavings

Debit Order Date Debit Order Date1st Work day of the Month7th or the first work day after that if 7th is over a weekend

Minimum Subscription Minimum Subscription I acknowledge that even though the service is month to month basis, should I cancel before 6months has lapsed, the installation fee of R2000 will be deducted from my bank account.

Installation Time Installation Time I Acknowledge that Installation can take up to 30days from order to complete. After installation it can take up to 48 hours for the line to be activated

Installation Day Installation Day I Acknowledge that it is advised to be available throughout the duration of the installation day, as Parys Internet cannot guarantee that the specified installation appointment time will be met by the external contractors.

Terms and Conditions Terms and Conditions I have read and accept all the terms and conditions as explained on https://www.parysinternet.co.za/fibre-terms-conditions/