📄 Hex Connect Internet Service Application Form

✅ Required Documents
  • Copy of ID or Company Registration Certificate
  • Proof of Address (not older than 3 months)
  • Bank Statement or Bank Account Confirmation Letter (for debit order setup)
  • Fields marked with an are required

💰 Application Type


🪪 Personal Details




📦 Choose Your Internet Package


Installation Details

Installation costs start from R1500.00 and include the CPE (Customer Premises Equipment) and Wi-Fi router.

The first month's package cost is additional, calculated on a pro-rata basis based on your activation date, and is payable together with the installation amount.

We will quote the total installation amountbased on your selected package and installation date.

Installation is subject to a 12-month contract.
Early cancellation will incur a R1000.00 fee.
The installed equipment remains the property of Hex Connect for the duration of the 12-month contract period.


💰 Payment Method


💳 Debit Order Mandate

If the debit date fall on a weekend or public holidy the debit order will run the next bussiness day.


📎 Upload Documents

 

By submitting this application, you agree to our Terms & Conditions.