ULCO MINE UPDATE FORM Update Package - Ulco Mine By filling in the below form, you are confirming consent to your personal data being processed for the Solid Fibre order form purpose as described below. Please make sure all required fields are filled in. Required fields are marked with an asterix. (*) NAME * NAME First First Last Last EMAIL (TO BE USED FOR BILLING PURPOSES) * PHONE * ACCOUNT NUMBER * ADDRESS FOR FIBRE TO BE ACTIVATED * ADDRESS FOR FIBRE TO BE ACTIVATED ADDRESS FOR FIBRE TO BE ACTIVATED ADDRESS FOR FIBRE TO BE ACTIVATED City City State/Province State/Province Zip/Postal Zip/Postal FIBRE TO THE HOME PACKAGE OPTIONS Please select a package option from our 12 month or 24 month contract options. FTTH - month to month - CURRENT PACKAGE * 10/5 MBPS R349/month 25 MBPS R649/month 50 MBPS R949/month 100 MBPS R1149/month FTTH - month to month - UPGRADE/ DOWNGRADE PACKAGE * 10/5 MBPS R349/month 25 MBPS R649/month 50 MBPS R949/month 100 MBPS R1149/month MESSAGE TERMS AND CONDITIONS * I agree to the terms and conditions of the service subject to the completion of the ordering process. Submit If you are human, leave this field blank.
