41.72.130.52
Internet - Lamont Information Technology -


ISP Application Form
 
  * Fields are mandatory
  * We look forward to hearing from you:
     
  Name
  Email
  Phone
  Physical Address
     
  * Is the Internet for Home or Business
     
  Home
  Business
   
  * Would you like comparative pricing on VoIP as well
     
  Yes
  No
   
  * Do you need internet failover
     
  Yes
  No
   
  * Preferred Service Type
     
  Any
  Fibre
  3G/LTE
  Microwave
  Wimax
  ADSL
  iBurst
     
  * Preferred Budget
     
  Any
  0 - 500
  500 - 1000
  1000 - 3000
  3000 - 5000
  5000 - more
     
  Briefly describe what you will be using the internet for