SKYWORKS_Fibre_Application

SKYWORKS Telecoms CC

VAT No. 4360248290

Reg No. 2008/116497/23

Tel. 087 802 0762

FAX. 086 651 9906

Cell. 082 920 2495

Shop 7C, 1st Floor, Entrance 6, Financial Square,

Mandela Drive, Witbank, South Africa

Fibre Application Form

Please note that:

SKYWORKS Fibre service is currently ONLY available to customers in fibre Activated parts of Emalahleni.

SKYWORKS' ability to provide Fibre to your home is subject to Active Fibre availability at the specified address.

This Application is for a: *

Home Fibre Connection (FTTH)

City *

Witbank (Emalahleni)

Fibre application *

I'm new to SKYWORKS

I'm an existing Customer

Neighborhood *

Street Name and Number *

Name *

Surname *

Phone Number *

ID Number *

Email *