HEAD OFFICE:

Tel: 015 065 0001 / 015 065 0074

CapriCom
Tel: 015 297 3962 / 015 065 0052
Fax: 086 546 5543
Management: 082 773 6632
Tech Support: 072 908 3951
Email: info@capricom.co.za
Email: fibre@capricom.co.za
WIRELESS NETWORKS www.capricom.co.za
Reg. Nr. 2005/036247/23
C.J. Bloem, R. Bloem DISTRICTS: CAPRICORN & WATERBERG

CLIENT INFORMATION
Name and Surname:
Contact Person:
FOR BILLING
Installation Address: Telephone Nr:

Cell Phone Nr 1:

Cell Phone Nr 2:

Postal Address: Email address:

VAT Number:

* Company/Client’s name must be the legal name of a Company or Person for registration purposes.
PAYMENT OPTIONS:
Subscription – Pay monthly by debit order or EFT or cash or card facilities.
I acknowledge that termination of this contract is not possible within the first three months and agree to give one calendar
month's written notice to terminate this contract. Should I choose a 12 month period package, the full period is payable upon
cancellation notice date. Should I fail to pay my account I shall be liable for collection, tracing and legal fees. I confirm that the
abovementioned physical address is my domicilium citandi et executandi.
I indemnify CapriCom against any damage, loss, claims or cost that may result from work being done in connection with the
service being rendered, removal of the service and/or my computer equipment not being compatible. I acknowledge that I will
be charged additional fees for work or maintenance outside the normal equipment warranty required to be done by CapriCom.
I agree this additional work should be paid on receipt of invoice or alternatively will be added to the monthly subscription fee.
Use of Internet related services is subject to our acceptable use policy (AUP). CapriCom will not be liable for any loss of use,
interruption of business, or any indirect, special, incidental, or consequential damages of any kind (including lost profits),
regardless of the form of action, whether in contract, direct, or otherwise, even if CapriCom has been advised of the possibility
of such damages. In particular CapriCom or its Agents will not be liable for any loss of data due to a software security breach,
virus infection or any other form of data loss that can be incurred while connected to the internet or otherwise.
In the event that any terms of this contract are found to be invalid, unlawful or unenforceable, such terms will be severable
from remaining terms, which will continue to be valid and enforceable.
I warrant that I have read and hereby accept the CapriCom Standard Terms and Conditions and Acceptable use Policy (AUP)
available online at www.capricom.co.za.

Accepted by: Name: _________________________________________

(Who warrants that they are authorized to sign)

Date: ______________________ Signature: __________________________________

The Applicant

FOR OFFICE USE ONLY INS CIQ

Account Number RBS REC
Customer Number CDB CNC
 CapriCom Wireless Networks CC - Standard Terms and Conditions for Online Services
1 Applicant consents to jurisdiction of any competent S.A. Magistrate's court for adjudication of legal disputes between
CapriCom and Applicant, T’s & C’s will be construed and interpreted in accordance with laws of the Republic of S.A.
2 Applicant acknowledges that terms and conditions hereof may not be varied or cancelled except in writing and signed
by CapriCom Networks and the Applicant. Fibre and Budget packages are subject to area availability.
3 Free telephonic support available 7 days a week, from 8:00 until 22:00 by dialing or sending a whatsapp or sms to our
Support Number: 072 908 3951. On-site support is charged at CapriCom Networks current rates.
4 Wireless internet: Installation fee is R3500.00 VAT incl. (Antenna, AP, cable, brackets, mast, travel etc.)
Fibre internet: Contractor’s installation fee is R1725.00 VAT incl. (falls away with 24 month contract) Fibre Applicant
will need a Router (AP): Either own Router, or R950.00 MikroTik Router (lower speeds), or R1350.00 MikroTik Router
(speeds 100Mbps+). Additional cabling for PC’s or networking, can be quoted to clients. Technicians have knowledge
to connect PC’s or TV’s to the internet, but are not IT technicians and don’t do IT. IT related work has to be attended
to by client’s IT provider. CapriCom supplies and maintains connections with relevant content (Internet, VPN, CCTV,
etc.). CapriCom does not supply IT support, our responsibility ends with connection to client’s internal equipment.
6 Please note there is absolutely no guarantee against lightning or power surges on equipment. Kindly take precautions
to avoid lightning or power surge damage. Help prevent damage by unplugging power cables from power outlets.
7 Wireless packages are based on fibre main feeds. Fibre packages run on either Vumatel or Frogfoot or Openserve
infrastructure, and their respective terms. Openserve does not guarantee speeds.
8 CapriCom reserves the right to modify prices on one month’s notice and may apply this after the notice period.
9 Payment options: Debit order or EFT or cash or card. All prices include VAT.
10 Cancellations on month-to-month packages require one calendar month’s written notice. Cancellations on 12/24
month contracts require one calendar month’s written notice, plus penalty fee.
11 Kindly clearly encircle your chosen package below. We will amend your package to the nearest available package
in your area (according to budget), should you choose a package that is unavailable in your area.

ALL AREAS – WIRELESS INTERNET - VALUE UNCAPPED month to month PACKAGES:

LITE BASIC BUSINESS PRO ENTERPRISE SILVER
512Kbps download 1Mbps download 2Mbps download 4Mbps download 5Mbps download 6Mbps download
256Kbps upload 512Kbps upload 1Mbps upload 2Mbps upload 2.5Mbps upload 3Mbps upload
R290 R400 R575 R995 R1595 R2295

BUDGET AREAS – WIRELESS INTERNET – UNCAPPED 12 months period PACKAGES:

STARTER SMARTER BRONZE COPPER SILVER GOLD
2Mbps download 4Mbps download 6Mbps download 10Mbps download 20Mbps download 30Mbps download
1Mbps upload 2Mbps upload 3Mbps upload 4Mbps upload 8Mbps upload 10Mbps upload
R280 R550 R850 R1500 R3000 R4500

FIBRE AREAS – FROGFOOT INFRASTRUCTURE – UNCAPPED PACKAGES:

LIZARD FROG CHAMELEON COBRA ALLIGATOR
10Mbps download 20Mbps download 50Mbps download 100Mbps download 200Mbps download
10Mbps upload 20Mbps upload 50Mbps upload 100Mbps upload 200Mbps upload
R599 R750 R850 R950 R1100

FIBRE AREAS – VUMATEL INFRASTRUCTURE – UNCAPPED PACKAGES:

RUBY PEARL TOPAZ EMERALD DIAMOND
10Mbps download 20Mbps download 50Mbps download 100Mbps download 200Mbps download
10Mbps upload 20Mbps upload 50Mbps upload 100Mbps upload 200Mbps upload
R599 R750 R850 R950 R1100

FIBRE AREAS – OPENSERVE INFRASTRUCTURE – UNCAPPED PACKAGES:

MERCURY MARS VENUS SATURN JUPITER
10Mbps download 20Mbps download 50Mbps download 100Mbps download 200Mbps download
10Mbps upload 20Mbps upload 50Mbps upload 100Mbps upload 200Mbps upload
R599 R750 R850 R950 R1100
All packages are true uncapped. NO throttling gets implemented on our network.
By signing below, the Applicant accepts the 12/24 month term when applicable to chosen package.

Accepted by: Name: _________________________________

Who warrants that they are authorized to sign

Date: _______________________ Signature: ______________________________

The Applicant
ICASA License No: 0336/CECS/Nov/2012 | WAPA (Wireless Access Providers Association) Member No. W188/2013
 CAPRICOM WIRELESS NETWORKS
Reg. Nr. 2005/036247/23
015 297 3962 □ 015 295 5985 □ 015 065 0000
FAX: 086 546 5543 □ info@capricom.co.za

BANK DEBIT ORDER INSTRUCTION

Client Name:____________________________________ Deduct my monthly subs plus payoff on equipment over ___ months.

Address:________________________________________ Deduct only my monthly subs. (I’ll pay off equipment via EFT)

The details of my bank account are as follows:

ACCOUNT NAME: ___________________________________ BANK NAME : __________________________________

ACCOUNT NO. : ____________________________________ BRANCH/TOWN : __________________________________

TYPE OF A/C : ________________________ ____________ BRANCH NO. : __________________________________

(savings, current, transmission)

I/we hereby request and authorize you to draw against my/our account with the abovementioned bank (or any other bank or branch to
which I/we may transfer my/our account) the sum of ___________________________________________ (state amount in words) and
any additional amount pertaining to this agreement, on the following day of the month, or nearest working day:

1st 7th 15th 25th 31st

of each month, this being the amount necessary for the settlement of the monthly due to you in respect of our purchases / contract /
agreement dated as indicated below.

All such withdrawals from my/our account by you shall be treated as though they had been signed by me/us personally.
I/we, the undersigned, instruct and authorize your agent, Netcash (Pty) Ltd, to draw against my/our account. I/we understand that if bank
details have been supplied the withdrawals authorized here will be processed by Sagepay. I/we also understand that details of each
withdrawal will be printed on my/our statement. I/we agree to pay any banking charges relating to this debit order instruction.
This authority may be cancelled by means of 30 day notice in writing, sent by prepaid registered post, but I/we understand we shall not be
entitled to refunds, which were withdrawn while this authority was in force if such amount was legally owing to you.
Assignment:
We acknowledge that the party hereby authorized to effect the drawing(s) against our account may not cede or assign any of its rights and
rd
that we may not delegate any of our obligations in terms of this authority to any 3 party without prior written consent of authorized party

Signed at ________________________________________on this ______ day of ________________________________________

_______________________________________________________
SIGNATURE AS USED FOR SIGNING CHEQUES