Extended Maintenance Registration

First Name*

Last Name*

ID Number*

Mobile Number*

Email*

Serial Number*

I agree to the Terms & Conditions

Sales Agent (optional)

Store of Purchase

Date of Purchase*

Cost Of Appliance (Vat Inclusive)*

Please make payment of the following amount

Please use the following reference when paying

Payment can be made using the following QR code or link:

https://www.walletdoc.com/pay/TEL005

Upload Proof Of Purchase*

Select proof of purchase Change Proof Of Purchase File

Take Picture of Proof Of Purchase Take Picture of Proof Of Purchase

Upload Proof Of Payment*

Select proof of payment Change Proof Of Payment File

Take Picture of Proof Of Payment Take Picture of Proof Of Payment

* Required fields

** Failure to make payment for the correct amount may result in certain service limitations**