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PAY FIRST

Make a payment before you complete this form, then upload PDF proof at the end.For pricing refer to our latest catalogue or website

CUSTOMER INFORMATION

Name and Surname

Email Address

Contact Number

Student Number

INSTITUTION

Institution Name

RESIDENCE

Residence Type

RESIDENCE

Residence Name

Delivery or Collection

Collection Point

PRODUCT SELECTION

Laptop

Macbook

iPhone

Storage Size

What are Three(3) iPhone colors you prefer

Amount Paid

PAYMENT TERMS

Payment method

Beneficiary Reference(EFT)

Payment Location

Insurance Options(Apply in Store)

VTC Sales Rep Name/ Referral

UPLOAD SUPPORTING DOCUMENTS

Proof of Payment(Upload Pdf)

APPLICANT TYPE

For pricing refer to our latest catalogue or website

APPLICANT INFORMATION

Name and Surname

Email Address

Contact Number

Employee Number

ID/Passport Number

SALARY

Basic Salary

Net Salary

RESIDENCE ADDRESS

Residence Name

Street Address

Province

City/ Region

No of years at Current Residence

PRODUCT(S) DETAILS

Laptop Order

Insurance Options

iPhones

Storage Size

What are Three(3) iPhone colors you prefer

Amount Paid (R) (Please upload proof of payment)

Balance

PAYMENT TERMS

Please select option

How did you know about us?

UPLOAD SUPPORTING DOCUMENTS

Copy of ID(Compulsory)

Proof of Employment (Compulsory)

3 Months Bank Statement (Compulsory)

Proof of Payment

APPLICANT TYPE

For pricing refer to our latest catalogue or website

APPLICANT INFORMATION

Company Name

Email Address

Contact Number

Company Registration Number

COMPANY FINANCIAL INFO

Turnover (Monthly)

Expenses (Monthly)

BUSINESS ADDRESS

Residence Name

Street Address

Province

City/ Region

No of years at Current Residence

PRODUCT(S) DETAILS

Laptop Order

Insurance Options

MTN Data Contract Period

MTN Data Options (2 months upfront payment)

Cellphones

Accessories

Amount Paid (R) (Please upload proof of payment)

Balance

PAYMENT TERMS

Please select option

How did you know about us?

UPLOAD SUPPORTING DOCUMENTS

Director's Copy of ID(Compulsory)

Proof of Company Registration(Compulsory)

3 Months Bank Statement

Proof of Deposit

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PAY FIRST

Make a payment before you complete this form, then upload PDF proof at the end.For pricing refer to our latest catalogue or website

CUSTOMER INFORMATION

INSTITUTION

RESIDENCE

RESIDENCE

PRODUCT SELECTION

PAYMENT TERMS

UPLOAD SUPPORTING DOCUMENTS

APPLICANT TYPE

For pricing refer to our latest catalogue or website

APPLICANT INFORMATION

COMPANY INFORMATION

SALARY

RESIDENCE ADDRESS

PRODUCT(S) DETAILS

PAYMENT TERMS

UPLOAD SUPPORTING DOCUMENTS

APPLICANT TYPE

For pricing refer to our latest catalogue or website

APPLICANT INFORMATION

COMPANY FINANCIAL INFO

BUSINESS ADDRESS

PRODUCT(S) DETAILS

PAYMENT TERMS

UPLOAD SUPPORTING DOCUMENTS