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*Required information.

Thank you for your interest in JOLA ka band VSAT Internet.

 

Kindly make use of the online application form below. Once we receive your application, a representative will contact you to confirm your order and ensure that you get connected on the internet as quickly as possible.


Full Name *
Company Name:
Tel *
Fax
Cell *
ID or Passport No *
Postal Address *
Physical Address *
City or closest city *
Email Address *

PRODUCT SELECTION

Please make use of the drop-down lists below to select your JOLA package of choice. For data cap and pricing information, kindly refer to our pricing page.


JOLA Home Packages
JOLA Pro Packages

PAYMENT SELECTION

Preferred Contract Period: *
I prefer to pay *
Include the cost of the router and installation in my monthly debit order *

BANKING DETAILS

For clients who prefer to pay via debit order, please complete the section below.

Account Holder
Bank Name
Account Number
Branch Code

I hereby authorize AfricaOnline Namibia to debit my account for services rendered. I confirm that the information is true and correct. I acknowledge that my AfricaOnline Account may only be used subject to the Service Agreement Terms.

Authorize Debit Order

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