Prepaid Meter Application
This information will let us know more about you.
Personal Details
Address
Installation Details
Let's start with the basic information
First Name
(required)
Company Name
(optional)
Mobile Number
(required)
Last Name
(required)
email
So where do you live?
House Number
City
Street
Province
--Please Select--
Gauteng
KwaZulu Natal
Western Cape
Eastern Cape
North West
Northern Cape
Free State
Limpopo
Mpumalanga
Postal Code
When do you want us to install?
please specify an installation date
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