A. About your business Telkom SmartAccess Ordering FreeCall 080, ShareCall 0860 Full name of your business or MaxiCall 0861 Company/cc registration number To order International FreeCall Company/cc VAT registration number please use the International FreeCall order form. Important Information ID number of person liable for payment of the account? • The Telkom SmartAccess services are provided on your existing (only if no company registration number is given ) telephone lines. If you need seperate lines for this purpose, please place your order through your local Telkom customer service branch. • If music is used in your Auto Attendant message recordings, please ensure that it complies to the standards and specifications as Registered address (domicilium address) determined by SAMRO. Room number, building/farm • Depending on the complexity of your service requirements, it could take up to two weeks to supply your service on the existing lines, from Street number and name the date of receiving this order form and any call routing information. • Please provide correct and clear information in order to avoid any Suburb delays. City/Town Postal code • Please use a black pen - this form will be faxed. Is the postal address the same as the above address? • For additional information on SmartAccess, visit our product showcase on the Telkom website: No Yes http://www.telkom.co.za/products/smartaccess.jsp If No, please furnish the postal address Before you submit this form • please feel free to contact your account manager or call us at Postbox/Private bag 0800 654321 if you have any questions; and Room number, building/farm • please read the service conditions overleaf After you have filled in this form Street number and name • please return this order form to your account manager or fax it to Suburb 0800 66 55 44; and City/Town Postal code • tear off this page along the perforation and keep it for you records Main industry in which your company operates Section A follows ... Agriculture, forestry or fishing Communication Transport, travel or storage Real Estate Accomodation or catering Retail or wholesale Professional and other services Finance or insurance Mining, construction or quarrying Manufacturing Electricity, gas or water Government Section B follows ... Telkom SA Limited Reg no 1991/005476/06 2004-03-11/Smart Telkom Telkom Business Telkom SA Limited www.telkom.co.za Reg no 1991/005476/06 B. About you (the person responsible for the account) Section C continued Which title do you use? Do you want your SmartAccess number: The Hon Rev Prof Dr Activated Mr Mrs Miss Ms Date on which you require your service? Your surname and initials 2 0 0 Y M M D D or Your position in the company Reserved in your/your company’s name Destinations Contact information - Please, it is essential that you give us Destinations refer to the telephone number/s of your various numbers where we can contact you during office hours sites/branches to which calls to you service number will be routed. Telephone number Telephone numbers including the area code of the destinations are: Fax number ( ) E-mail address ( ) Contact person - (if not the same as the above) for queries on this order ( ) Name ( ) Telephone number ( ) Please use the Call Routing Specification Sheet if more destinations Fax number are going to be used. E-mail address D. Service Features C. About your SmartAccess Service Basic service features Which service do you require? AreaCall (provincial routing) FreeCall 080 ShareCall 0860 MaxiCall 0861 TimeCall Please use separate order forms if you wish to order more than one of these services DateCall What number do you require? DivertCall any computer-generated number or Optional service features a number of your choice (Golden Number) (Please consult the SmartAccess tariff brochure for the applicable service charges pertaining to the optional service features.) Golden Number/s Custom AreaCall (based on magisterial districts and/or exchanges- Please indicate your 1st, 2nd and 3rd choice of Golden Numbers only if provincial routing would be inadequate for you) Admin feature Announcements Golden Number List of standard announcements can be obtained from the SmartAccess Service Centre. PercentageCall Please note that your choice depends on the availability of the number/s Caller PIN LimitCall requested. Auto Attendant SecureAccess (Please consult the SmartAccess tariff guide for the applicable service charges pertaining to Golden Numbers) Section C continues ... Please use the Call Routing Specification Sheet for your call routing requirements. Note that the correct completion of this information is essential. You can obtain the Call Routing Specification Sheet from the SmartAccess Service Activation Centre at 0800 654321 Your details in the phone book follows ... Telkom SA Limited Telkom SA Limited Reg no 1991/005476/06 Reg no 1991/005476/06 For office use only Your details in the phone book Fax Paper copy Would you like to have the details of your service number Date received 2 0 0 Y M M D D to be printed in any of the official Phone Books? Region in which customer falls Yes No NB: You are entitled to one free light-face entry under your main entry in the applicable local Phone Book which will be limited to the work Segment in which customer falls FreeCall 080/ ShareCall 0860/ MaxiCall 0861 and the relevant telephone number. Additional light-face entries in the other Phone Books of the RSA can also be arranged at the normal prescribed rate. These Corporate Business entries will be limited to the name and address of your business plus three descriptive words for business services. Where, in the opinion Special Market Government of Telkom, the trading title sufficiently indicates the nature of the business transacted, no descriptive matter will be printed. Sales representive Local Phone Book to be used for free light-face entry: For entries in other phone books, please contact us at Conditions of Agreement 0800 654321 For White Pages and/or Yellow Pages bold-face entries and I/We accept and understand that advertisements or listing on the Electronic Yellow Pages, please contact Telkom’s advertising contractor, Master Directories (1981) a. the service will be subject to the provisions of the Telecommunications Act 103 of 1996 and Telkom’s standard Terms and Conditions for the provision of (Pty) Ltd. See your local Yellow Pages for more information. PSTS, as amended from time to time (a copy of these conditions is available at any Telkom service centre); b. by signing and submitting this order form to Telkom, I/we will be bound by the standard conditions, irrespective of whether I/we have read the conditions E. Agreement or not; Signature of the person duly authorised by the business c. I/we will be responsible for testing the operation of my/our new service and assuring that it is according to my/our satisfaction before using it in any advertising; I confirm that... d. Telkom charges interest on all amounts due that have not been paid on or before the due date indicated on your invoice. Interest is calculated from the I have read, understood and accepted the conditions on this date of issue of the invoice until the date Telkom receives the payment. Telkom may amend the interest rate from time to time. form, and that the details I have given on this form are correct e. Invoices are accepted as correct, unless queried within 14 days after the and complete. invoice due date. It is the customer’s responsibility to ensure that the terminating Please Sign Here numbers are correct, as indicated on the invoice. Your signature f. one month’s written notice of discontinuance is required and must be faxed to 0800 66 55 44; g. should I/we default on payment of my/our account, I/we will be liable for any resultant collection, tracing and/or legal fees; h. Telkom will be entitled to verify the information contained on my/ourorder form and generally make enquiries if deemed necessary.Telkom will also be entitled to furnish any information regarding my/our account with Telkom and my/our compliance with these conditions to any credit bureau; Date 2 0 0 Y M M D D i. I/we hereby indemnify Telkom SA Ltd against any damage or claims that may result from the work done or being done in connection with the installation and/or removal of this service; Name of signatory in BLOCK LETTERS j.Telkom cannot guarantee cellular access to the SmartAccess services. Where interim cellular access has been granted for specificSmartAccess services, Telkom cannot guarantee that such access will continue; k. I/we will notify Telkom in writing of any changes to the telephone codes or telephone numbers associated with my/our chosen SmartAccess destinations, irrespective of whether these changes resulted from Telkom number changes If you are under 21 year old, your guardian must also or through my/our request; sign this order l. I/we agree that the aforementioned physical address shall be my/our domicilium citandi et executandi; m.Telkom SA Ltd may terminate this agreement immediately if I/we fail to comply Your position in the company with any of these conditions or in the event of notice of the intention to surrender, sequestrate my/our estate or in theevent of my/our death; n. I/we may not assign or cede this agreement or any rights hereunder; o. Telkom shall make reasonable endeavours to meet the installation date as Your guardian’s ID number requested by the customer. Telkom, however, shall not be responsible for any consequences of delay or liable for any damages, costs or expenses whatsoever, which the customer may incur or suffer if the requested installation date is not met; p. Although Telkom SmartAccess numbers can support Alpha dialling, Telkom Your guardian’s signature will only reserve a numerical code. Telkom will not be held liable for any actions resulting from advertising, awareness or registration of such numbers, be it in its numeric or alpha code or any other form possible; q. I/we shall not cede, assign and/or transfer my/our right or obligation to use reserved/activated numbers or sublet or otherwise part control therewith, without the prior written consent of Telkom; r . I/we hereby indemnify and hold Telkom SA Ltd harmless against any claims Name and signatory in BLOCK LETTERS whatsoever, howsoever caused which may arise in the event that the telephone number/s and/or service/s allocated to me/us being not available when the service/s is/are physically provided. s. Any publishing or printing of the telephone number/s for any purpose whatsoever is done at my/our own risk and Telkom SA Ltd will not be liable whatsoever for End of this order any losses relating to or in connection with such publishing and/or printing.