Capped Mobile Data Sign-Up Form

"*" indicates required fields

About You

Full Name // Agreement*

First Name Surname

Enter your First and Last Name in the fields above. By typing in your Name in the box above, you also electronically sign and agree to the Electronic Debit Order // Credit Order Mandate (E.D.O.C.O.M.) and Day's General Terms & Conditions which can be read by clicking on the appropriate button(s) at the bottom of this page.

Email Address*

Insert your Email Address below, so we can contact you.

Phone Number*

Enter your Phone Number below, so we can keep in touch.

Actual Address*

Enter your installation address here so that we can deliver to you.

Street Address Suburb City Province 4-Digit Post Code

Delivery Address*

This address may be different from your installation address. You may have your parcel sent to work, a friend, a family member, etc. You will not have to sign for the parcel, so someone you trust can receive it as well.

Same as Installation Address

Street Address Address Line 2 City/Town Province 4-Digit Post Code Country

RICA Address*

This address can be found on your proof of residence document. Make sure the address you entered matches the address on your RICA document word-for-word.

Same as Installation Address

Street Address Suburb City Province 4-Digit Post Code Country

ID Number |or| Passport Number*

Either enter your ID Number or Passport Number here.

About Your Order

Which LTE-Anytime data plan would you like to buy?*

Here is your chance to pick your plan!

Do you want to increase your SIM's priority on your network with Day Plus for only R95?

Through Day Plus, your line can become the top priority on your network which may result in better speeds overall. Your local tower will work just that much harder to ensure that you are able to get connected than if you opt out. This is especially optimal for gamers and for streaming content on lower-cost plans without lower latencies and priority for streaming included.

About The Billing

Payment Method*

Would you like to pay with a credit/debit card or with a debit order? Do not worry, for your first payment can be made on whichever date in the near future best suits you, but we need this information so that we can have debit orders set up for you for automatic payments in the future (which usually take place on the 1st Business day of the month).

Name of Bank*

What is the name of your bank?

Branch Code of Bank*

What is the branch code of your bank?

Your Account Type*

Is your bank account a cheque account or savings account?

Your Account Number*

What is the Account Number of your cheque/savings account?

Name on Card*

Enter the name associated with your Credit/Debit Card. This may not just be your full name.

Credit Card Number*

Enter your Credit Card number exactly as it appears on your Card.

Expiry Date*

When does your Credit Card expire? Enter the date exactly as it appears on your card with the format MM/YY.

Capped Mobile Data Sign-Up Form