Vodacom Contract Application Form
Please complete entire form. You will be contacted via phone or e-mail as soon as your application has been processed:

Existing Vodacom Account
If Yes, enter account number
First Name
Surname
ID number
Sex
Marital Status
Property Owned or Rented
Years at present address
Years at previous address
Home physical address
Province
Postal Code
Preferred Branch for Collection
Home phone number
Postal Address
E-mail
Name of friend or relative
Relationship
Friend/Relatives phone number
Name of employer
Employer's Phone number
Employer Contact
Position
Gross monthly salary
Years at current employer
Years at Previous employer
Salary Date
Bank account type (cheque,savings,etc.)
Years bank account open
Credit card type (mastercard,visa,etc.)
Card Normal or Gold