ORDER FORM

Kawuleza Wireless Broadband

HOME CAPPED

• Your Name*
• Company Name
• Phone*
• Email*
• Physical Site Address*
• Speed*
  1M @ R249/mo4M @ R349/mo8M @ R399/mo
• Installation Option*
  Once-off @ R125012 month contract @ R119/mo24 month contract @ R67/mo