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On Line Order Form

 
Should you have been introduced to Fax to Email via a registered DigiFax Agent,
please enter the Agents Sales Code here:
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STEP 1
Company or Individual Details
Name of company or Close corporation or partnership or individual:
Registration No. or ID No.:
Industry Type:
Co VAT Registration Number:
Physical Address  
Street:
Town / City:
Postal Code:
Postal Address:
City:
Code:
   

Administrator Details
Name:
Job Title:
Work Number: (no spaces or dashes)
Fax Number: (no spaces or dashes)
Cell Number: (no spaces or dashes)
Email Address:
Note: Confirmation will be sent to this email address.

Email Addresses For Your Fax to Email Numbers
Please supply email addresses to be linked to your Fax to Email numbers:
 
1st Fax to Email number to be linked to email address:

email address
Sending
 and/or Receiving
   
2nd Fax to Email number to be linked to email address: email address
Sending
and/or Receiving
   
3rd Fax to Email number to be linked to email address: email address
Sending
  and/or Receiving 
   
4th Fax to Email number to be linked to email address: email address
Sending and/or Receiving
 
   
5th Fax to Email number to be linked to email address: email address
Sending and/or Receiving
   
6th Fax to Email number to be linked to email address: email address
Sending and/or Receiving
   
7th Fax to Email number to be linked to email address: email address
Sending and/or Receiving
   
8th Fax to Email number to be linked to email address: email address
Sending
and/or Receiving 
   
9th Fax to Email number to be linked to email address: email address
Sending
  and/or Receiving 
   
10th Fax to Email number to be linked to email address: email address
Sending and/or Receiving
   
11th Fax to Email number to be linked to email address: email address
Sending and/or Receiving
   
12th Fax to Email number to be linked to email address: email address
Sending and/or Receiving
   
13th Fax to Email number to be linked to email address: email address
Sending and/or Receiving
   
14th Fax to Email number to be linked to email address: email address
Sending and/or Receiving
   
15th Fax to Email number to be linked to email address: email address
Sending and/or Receiving
   
16th Fax to Email number to be linked to email address: email address
Sending and/or Receiving
   
17th Fax to Email number to be linked to email address: email address
Sending and/or Receiving
   
18th Fax to Email number to be linked to email address: email address
Sending and/or Receiving
   
19th Fax to Email number to be linked to email address: email address
Sending and/or Receiving
   
20th Fax to Email number to be linked to email address: email address
Sending and/or Receiving
   
Should you require additional Fax to Email numbers, email details to info@digifax.co.za
 
When using Email to Fax , you as the sender pay per minute ( call rates available here ).
STEP 2
Debit Order Form


Download and complete in full, sign and fax to (086) 677 3223
.

   
Please read Terms & Conditions for the above
services before submitting this Order form
Also available for download here


On submiting the above information, I hereby declare that I have read and agree to the Terms & Conditions stipulated on this web page.