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					                                       Board walk Off ice Park Block 12     Tel: 087 805 0003        Atlantic Internet Serv ices (Pty )Ltd.
                                       1st Floor, Boardwalk St,             Fax: 012-990 4601        Reg No: 96/12000/07 Vat 4470162472
                                       Faerie Glen                          sales@lantic.net         Directors: N Mey er, JR Visser, DC Venter , W
                                       PO Box 12974,                        www.lantic.net           Steenkamp, DG Reed, P Muller
                                       Hatf ield, 0028




                                                                                                                    Subscriber Agreement

Reseller: <@Home IT Support> | Tel: <0827803365> | Fax: <0865020089> | <rudi@homeitsupport.co.za>

Username:                                        Hint Question:

Password :                                       Hint Answer:


Language: Afr      | Eng             Company Name :
Title :         Name:                                                        Surname:
ID/Co. Reg. no:                                                               Correspondence e-mail:


Postal Address:                                                                             Tel (w):

Address:                                                                                    Fax (w):

City:                                                                                           Tel (h):


Province:                                                                                   Fax (h):

Code:                                                                                             Cell:
Physical Address (if not the same as above):
Address:                                                                                          City:

Province:                                                                                       Code:



Debit order          Account Holder Name:

Bank name:                                                                Account type: cheque             | Savings      | Transmission

Branch name:                                        Branch code:                            Account nr.

Credit card          Name on card:                                                                    Master       | Visa      | Diners

Card no:                                                           Expiry date:                 Verification digits:

                                                      Connectivi ty
            Analogue / 64 Kb ISDN R55                 128 Kb ISDN R 90                   Pronto A DSL 10c/MB
                 ADSL 1GB Local R25               ADSL 1GB Bronze R69                   ADSL 1GB Silver R159
                 ADSL 4Gb Gold R249            ADSL 4Gb Platinum R450                                vSat R 249
                     ADSL 10Gb R629                   ADSL 20Gb R1199
                    eScan Internet Security Suite v10 R25           eScan Internet Security Suite v10 1Y r R275


ADSL line & data combos:                                                                                                            pm
1GB + 384k line                  12 month contract; R139pm for the first 6 months, R189pm thereafter                              *R139
1GB + 512k line                  12 month contract; R326pm for the first 6 months, R389pm thereafter                              *R326
1GB + 4096k line                 12 month contract; R413pm for the first 6 months, R489pm thereafter                              *R413
5GB + 384k line                  Month-to-month contract                                                                           R389
5GB + 512k line                  Month-to-month contract                                                                           R549
5GB + 4096k line                 Month-to-month contract                                                                           R649
10GB + 384k line                 Month-to-month contract                                                                           R649
10GB + 512k line                 Month-to-month contract                                                                           R779
10GB + 4096k line                Month-to-month contract                                                                           R999
*for the first 6 months


                                                                                                                                                     Initial
Personal Hosting:                                                                                                         setup       pm
My Host 2         2 @lantic email, 2 email alias, 10 Mb mail quota, 2 Fax2maiL.                                              R0       R30
                      3 @lantic emails, 5 email alias, 15 Mb mail quota, 5 Mb web space, 50 Mb web
Casual Host 3                                                                                                               R0        R39
                      traffic*, 1 Fa x2maiL, distribution list (10 email)
                      10 @lantic emails, 10 email alias, 50 Mb mail quota, 10 Mb web space, 100 Mb
Smart Host 10                                                                                                               R0        R95
                      web traffic*, 2 Fax2maiL, distribution list (20 email)
                      15 @lantic emails, 20 email alias, 75 Mb mail quota, 15 Mb web space, 300 Mb
Power Host 15                                                                                                               R0       R155
                      web traffic*, 3 Fax2maiL, distribution list (50 email)


Pastel My Busine ss Online:                                                                                              once off      pm
Pastel Monthly         My business online month-to-month subscription                                                         R0     R140
                             My business online annual subscription (10% discount on month-to-month
Pastel Annual                                                                                                              R1512       R0
                             contract)
Additional Company           A maximum of 10 additional companies may be added                                                  R0    R10
Addition User                A maximum of 5 additional users may be used                                                        R0    R25



Hardware bundles: Netbook bundle 24 month contract:
Packages       Wireless Start   Wireless 1     3G/HS DPA                                3G/HS DPA            3G/HS DPA
                    80Mb           1Gb          250Meg                                   500Meg                1Gig
Subscription fee                   R108                R208                 R159                  R249                   R349
Hardware fee                       R160                R160                 R160                  R160                   R160
*Total                    R268 p/m           R368 p/m             R319 p/m             R409 p/m              R509 p/m
subscription
Once off                            R99                 R99                R175                  R175                    R175
activation fee

Hardware bundles: PC bundle 3G/HSDP A 24 month contract:
Packages        3G/HS DPA      3G/HS DPA     3G/HS DPA
                  250Meg        500Meg          1Gig
Subscription fee                  R159               R249                 R349
Hardware fee                      R178               R178                 R178
*Total                R337 p/m             R427 p/m             R527 p/m
subscription
Once off                          R175               R175                R175
activation fee

Hardware bundles: PC bundle iBurst 24 month contract:
Packages             Wireless Start   Wireless 1       Wireless                                Wireless 1
                      80Mb US B*       1Gb US B*      Start 80Mb                                  1Gb
                                                      Desktop**                                Desktop**
Subscription fee                          R108                R208                 R148                  R248
Hardware fee                              R178                R178                 R178                  R178
*Total subscription            R286 p/m             R386 p/m             R326 p/m              R426 p/m
Once off activation fee                R99                  R99                  R99                   R99
*includes iBurst USB modem
**includes iBurst Desktop modem

Hardware bundles: Laptop bundle 24 month contract:
Packages       Wireless Start    Wireless 1    3G/HS DPA                                3G/HS DPA            3G/HS DPA
                    80Mb            1Gb          250Meg                                  500Meg                1Gig
Subscription fee                   R108                R208                 R159                  R249                   R349
Hardware fee                       R235                R235                 R235                  R235                   R235
*Total                    R343 p/m           R443 p/m             R394 p/m             R484 p/m              R584 p/m
subscription
Once off                            R99                 R99                R175                  R175                    R175
activation fee

Busine ss Domain Hosting :                                                    (+ excl. Domain registration & transfer)   setup+       pm
Park @ Us      Park your domain for later use                                                                            R145         R0
                    1 domain email, 2 email alias, 10 Mb mail quota, 2 Mb w eb space, 300 Mb web traffic *,
Host @ 300          1 Fax2maiL, unlimited subdomains.                                                                      R49        R24
                    2 domain emails, 3 email alias, 20 Mb mail quota, 10 Mb w eb space, 500 Mb web traffic *,
Host @ 500          2 Fax2maiL, unlimited subdomains.                                                                      R49        R39
                    5 domain emails, 5 email alias, 50 Mb mail quota, 100 Mb w eb space, 1 Gb web traffic*,
Host @ 1G           5 Fax2maiL, distribution list (10 email), unlimited subdomains.                                      R145        R105

                                                                                                                                        Initial
                    10 domain emails, 10 email alias, 100 Mb mail quota, 200 Mb w eb space, 1.5 Gb web traffic*,
Host @ 1.5G         10 Fax2maiL, distribution list (20 email), unlimited subdomains.                                  R145        R155
                    15 domain emails, 20 email alias, 150 Mb mail quota, 512 Mb w eb space, 2 Gb web traffic*, 15
Host @ 2G           Fax2maiL, distribution list (30 email), unlimited subdomains.                                     R145        R215
                    20 domain emails, 30 email alias, 200 Mb mail quota, 1 Gb w eb space, 3 Gb web traffic *, 20
Host @ 3G           Fax2maiL, distribution list (40 email), unlimited subdomains.                                     R145        R265
                    25 domain emails, 50 email alias, 250 Mb mail quota, 2 Gb w eb space, 4 Gb web traffic *, 25
Host @ 4G           Fax2maiL, distribution list (50 email), unlimited subdomains.                                     R145        R349
                    30 domain emails, 100 email alias, 300 Mb mail quota, 5 Gb w eb space, 5 Gb web traffic *, 30
Host @ 5G           Fax2maiL, distribution list (80 email), unlimited subdomains.                                     R145        R425



Windows Domain Hosting Options:                                            (+ excl. Domain registration & transfer)      setup+         pm
                     Web space 50Mb, Web Traffic 300Mb,5 e-Mail boxes ,5 e-Mail alias forwards,
WinHost @300         Distribution list (10 email), 50 Mb Mail Quota, 5 Fa x2maiL
                                                                                                                         R185      R99
                     Web space 150Mb, Web Traffic 500 Mb, 10 e-Mail boxes ,10 e-Mail alias forwards,
WinHost @500         Distribution list (20 email) , 100 Mb Mail Quota, 10Fax2maiL                                        R185     R145
                     Web space 250Mb, Web Traffic 1024Mb, 15 e-Mail boxes ,20 e-Mail alias forwards,
WinHost @ 1G         Distribution list (30 email), 150 Mb Mail Quota, 15Fax2maiL                                         R185     R199
                     Web space 400Mb, Web Traffic 1536Mb, 20 e-Mail boxes ,30 e-Mail alias forwards,
WinHost@ 1.5G        Distribution list (40 email), 200 Mb Mail Quota, 20 Fa x2maiL                                       R145     R245
                     Web space 550Mb, Web Traffic 2048Mb, 25 e-Mail boxes ,50 e-Mail alias forwards,
WinHost @2G          Distribution list (50 email), 250 Mb Mail Quota, 25 Fa x2maiL
                                                                                                                         R145     R349
                     Web space 800Mb, Web Traffic 3072Mb, 30 e-Mail boxes ,100 e-Mail alias forwards,
WinHost @3G          Distribution list (80 email), 300 Mb Mail Quota, 30 Fa x2maiL                                       R145     R425
                                                                                                              (* R0.19 /Mb thereafter)
VoIP:                                                                                                                  setup        pm
                      PABX with 1 x Dect, 2 x Analogue, 1x Operator Console (Complete 24 month
@PABX Mini                                                                                                            R1500       R499
                      rental Agreement)
                      PABX with 4 x Dect, 3 x Analogue, 1x Operator Console (Complete 24 month
@PABX Maxi                                                                                                            R1800       R799
                      rental Agreement)
Vox ADSL VoIP         VOX ADSL VoIP Dect phone Monthly Rental Agreement (Complete rental
                                                                                                                      R300         R49
Phone                 Agreement)
Vox ADSL VoIP
                      VOX ADSL VoIP Dect phone Plus 1GB ADSL usage via SAIX Monthly Rental
Phone +1GB                                                                                                            R300         R99
                      Agreement (Complete rental Agreement)
ADSL
Voice 1               1 x Standalone 087 VOIP number                                                                   R50           R25
Voice 5               5 x Standalone 087 VOIP number                                                                  R250          R125
Voice 10              10x Standalone 087 VOIP number                                                                  R500          R250

SMS Online                                                                                                                      Setup
100 SMS Bundle        including setup      fee                                                                                    R65
250 SMS Bundle        including setup      fee                                                                                   R120
500 SMS Bundle        including setup      fee                                                                                   R205
1000 SMS Bundle       including setup      fee                                                                                   R305
3000 SMS Bundle       including setup      fee                                                                                   R865
5000 SMS Bundle       including setup      fee                                                                                  R1375

Mobile Tripsheet
Logbook via Mobile phone 24 month user licence                                                                                    R299


I/We hereby understand and accept the terms and conditions as stated below in terms of this agreement between myself/us and
Atlantic Internet Services (Pty) Ltd hereafter referred to as “Atlantic”: I/We also hereby request you to draw against my/our account,
with whichever bank/building society it may be, the amounts required under the above-mentioned Contract or any renewal thereof
and I/we authorise my/our bank/building society to DEBIT my/our account with any amounts drawn against it in terms of this
Contract. An additional fee of 5% plus R2.50 will be levied on this contract i f payment is made by credit card. Atlantic reserve the
right to change the configuration, product structure, cost or any other components on all services rendered from time to time and
will give 14 days notice of such changes. Every notice or other communi cation required or permitted hereunder shall be sufficiently
given or transmitted if and when it is sent by means of electronic transmission (electronic mail message) or displayed on Atl antic’s
web portal (www.lantic.net) for the said period. I/We hereby a cknowledge that it is my/our responsibility to keep my/our username
and password a secret and acknowledge that I/we have the ability to upgrade above -mentioned contract using this user name and
password. I/We hereby understand that the services rendered will be subject to Atlantic's conditions of use as amended from time
to time. A cop y of these conditions is available at any Atlantic branch or online at: http://lantic.net/userpolicy.htm. I/We acknowledge
that termination of a monthly contract is not possible within 3 months as the initial period and understand that this contract will
automatically be renewed on a month to month basis. A one month written notice is required to terminate this contract after t he
initial period. 24 Month term contracts cannot be cancelled within 24 months. Thereafter it can be cancelled with one month notice
period. I/We understand that Atlantic reserves the right to take ownership of any domain that is cancelled and not transferred to
another ISP. I/We indemnify Atlantic agains t any damage, loss, claims or cost that may result from work being done in connection
                                                                                                                                        Initial
with the service being rendered and/or removal of the service. Should I/we fail to pay my/our account I/we shall be liable fo r any
collection, tracing and/or legal fees. I/we hereby confirm that the above mentioned physical address shall by my/our Domicilium
citandi et executandi. An administration service fee of R35 will be levied on all non -payments via DEBIT order or credit card. Should
I/we fail to pay my/our account, Atlantic reserve the right to terminate this agreement without notification. A reconnection fee will be
applicable should I/we choose to reactivate this contract, this fee will be determined by Atlantic at its own and sole discre tion.
Interest is payable on all arrear payments at a rate determined by Atlantic from time to time. I/we hereby authorise Atlantic to
perform a credit check on my/our profile. Atlantic reserves the right to decline an application without providing reasons fo r such a
decision. All hardware supplied as part of a term contract offering remains the property of @lantic until the contract term has
expired where after ownership will pass to the customer.




_____________________ _________________________________ ____________________
         Signature                                      Name in Capitals                                                 Date



        Preferred Email Address                          Preferred Username                            Preferred Password




         Domain Name Required                              FTP Username                                   FTP Password

Required Regulation of Interception of Communic ations and Provision of Communication-Related Information Act
(Rica), documentation for all customers


Individuals
Certified copy of ID
Proof of residential address
Busine ss
Certified copy of Representative ID
Proof of Representative residential address
Copy of business letterhead including registration details and address




                                                                                                                                Initial

				
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posted:3/27/2011
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