Evotel – SMI MDU Form

Fill in the form below to show your interest in getting fibre once the Complex/Estate goes live! Need some more information before you commit? Check out the buttons added at the bottom of the form that you can use to download a pricelist, find out about our Refer-a-friend program & anything else you might want to know.

Complex/Estate Name(Required)

Select Complex/Estate from dropdown.

Clients Name(Required)

First Last

Enter your clients full name here.

This field is hidden when viewing the form

Geocoder

Use this button when you are at your clients installation address

Clients Installation address(Required)

Confirm your clients address where the clients fibre should be installed.

Ensure marker is on your clients Rooftop (installation address)

If the marker is not on the clients rooftop please move the marker by clicking / tapping the map on the clients home.

This field is hidden when viewing the form

GPS co-ordinates(Required)

Insert your GPS co-ordinates from the map

Clients Cell Phone Number(Required)

Enter your primary contact number here.

Evotel – SMI MDU Form

Refer-a-friend

Package Pricing: