Online Application Form
 
Email Solutions
 
Personal Information
Name & Surname: *
Company:
VAT number (if relevant):
Company Contact:
ID / Company Registration Number: *
Email Address: *
Telephone Number: *
Fax Number:
Mobile Number:
Postal Address: *
 
Service Requirements & Cost
Please indicate your choice of email solution by selecting from the list below *
 

Monthly

Annually
Domain Mail Lite    R59    R649
Domain Mail    R85    R935
Corporate Mail Lite R165 R1815
Corporate Mail R225 R2475
List Server Lite R195 R2145
List Server R350 R3850

Extra's
Additional mailbox are available on only the Domain Mail solution @ R10 per mailbox per month
Additional traffic charged at R0.91 per MB over usage limit


Important Notice *  All prices indicated are exclusive of VAT
 
Payment Options & Direct Deposit Details
Payment Options * Direct Deposit Details
Please choose your preferred payment method
Direct Deposit
Monthly Debit Order
Credit Card
A representative will contact you regarding your account details.
Account Holder: Popular Demand Technologies
Account Number: 6202 164 5934
Bank: First National Bank
Branch: The Fountains
Branch Code: 25-79-55
All Deposit Slips to be faxed to 086 686 2622 or sent via email to accounts@populardemand.co.za.
Please include the Invoice Number as reference on the deposit slip/ electronic transfer. We can not be held responsible if the payment cannot be traced.
 

Your Banking Details
Bank Name:    Branch:
Branch Code:    Account Holder:
Account Number:    Account Type:

Credit Card Payments

You will be provided with an invoice number and a secure link for credit card payments,
 as soon as your application has been processed.
 
Confirmation and Submission of Application

By submitting, I agree to the terms & conditions and confirm that all of the information provided in this form is true and correct.

I agree: