AMOYA CONNEKT

READY TO GET CONNECTED?

Complete the order form below as accurate as possible and one of our skilled representatives will be in touch!

Full Name *

First

Last

Email Address *

Contact Number *

South African ID Number / Passport Number *

Package *

Type of Installation *

Installation Physical Address *

Input the address that you are applying for a fibre connection.

City *

State / Province / Region *

Postal Code *

Special Installation Instructions *

Confirmation *

I acknowledge that I have read and agree to abide by the the Terms and Conditions
I acknowledge that upon submitting this form, my orders are final and can no longer be canceled