Submit a ticket [Application, Request, Enquiry etc.]
SOUTHERN MONEY SOUTH AFRICA > SOUTHERN MONEY ONLINE APPLICATIONS AND CUSTOMER SUPPORT > Submit a ticket [Application, Request, Enquiry etc.] > CELL PHONE CONTRACT - GOOD ITC
 

Use this form to apply for your cell phone, tablet, modem, laptop etc on contract. Take care to compete it properly. Required fields are marked with *

Full Names and Surname: *
E-mail: *
Confirm Email: *

Priority: *

Identity Nr: *
Cell Phone Nr: *
Full Residential Address: *
Bank Name + Account Type: *
Financial Status: *
Occupation Status: *
Salary Frequency: *
[A]. Basic Salary on Payslip=: *
[B]. Nett Salary Deposited In Bank=: *
[C]. Total Monthly Installment Expenses=: *
[D]. Total Monthly Living Expenses=: *
Home Owner: *
What Best Describe Your Employer: *
Employer (Company) Name + Your Position: *
Employment Start Date: *
Employer Physical Address: *
Employer Tel Nr: *
Marital Status: *
Re-check & Enter Email Address: *
Where did you hear about us: *

Subject: *
Message: *

Attachments:


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SPAM Prevention: * Type the number you see in the picture below.
 
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Before submitting please make sure of the following
  • NB - Check the correctness of the email address now!, and that All necessary information has been filled out.
  • After submission immediately use your ticket tracking ID number, emailed to you, to view your ticket. Make sure all information is correctly recorded. If you do not recieve our email, remember to check your junk mailbox, then please contact us immediately.
We have:
  • 3.234.214.113 recorded as your IP Address
  • recorded the time of your submission