Untitled Document
 
 
Visit the AFCON Page
Click to visit.
 
 

customer agreement


Kindly fill the form by entering your details and click on submit. You will be presented with a form which you will print out.

For Corporate/SME form, click: Corporate / SME form

Note: All fields marked * are Compulsory.

Customer Details
Title: *
Surname: *
Other names: *
Acct. No. or Existing MTN Acct No:
Package: *
Date of birth (dd/mm/yyyy): / / *
Nationality: *

Residential Address
House No: *
Street Name: *
City/Town: *
state: *
Home Landline: *
E-mail: *

Billing Address(if different from Residential Address)
House No./
Office Name:
Street Name:
City/Town
State:
work Telephone:
E-mail:

Multiple Application
No. of Sim *

Payment Option
Cash
Cheque
Direct Debit
E-payment

Document Attached
Prof of ID
ID of account Administrator
Letter of Authority
Utility Bill
Last 3 months bank statement

Bill Delivery option
E-mail:
Courier:

Value Added service
E-care
Roaming
Fax and Data
MTN Directory Enquiries
Itemised Billing:
Others:

I/we have read, understand and agree to be bound by the terms and conditions printed overleaf and declare that the information given is true and correct.