MobiPower Registration Form Use this form to register and activate your prepaid meter online and be able to purchase immediately. You will receive a confirmation email on successful registration. Company/Your Name (required) Physical Address (required) Company Registration No. Company VAT No. First Name (required) Surname (required) ID Number (required) Email Address (required) Cell Phone Number (required) Landline Number Postal Address (required) Municipal Area (required) Applicable Tariff Rate (cost/kWh excl VAT) R(required) Select Property (required) ResidentialCommercialCottage/RoomOther If "Other" please specify Meter Serial Number (required) Please enter the correct bank details into which payments must be made for money collected. This is typically the details of the landlord or property owner responsible for paying the Eskom/Municipal electricity account. Bank Name For Payments (required) Account Holder (required) Account Number (required) Branch Name and Code (required) 1. Authorisation: I/We hereby declare that the above-mentioned information is correct. I/We hereby authorise MobiPower to manage and control the sales of prepaid electricity services for the above mentioned company/individual. I/We undertake to notify MobiPower in writing of any change to the above details, and should I fail to do so, I/we will be liable for any tracing costs. I/We accept these terms. 2. I am duly authorised to complete and accept this agreement. I here by accept that this contract is valid for a period of 2 years from date of this registration as date and time stamped on the confirmation email sent on completing this registration. I/We accept these terms. 3. Service and Other Fees: I/We acknowledge that there is a per transaction service fee of 10% including VAT but excluding third party vending charges that can be as high as 4% incl. VAT, which will be deducted for each transaction request for this service. Additional cost associated with management and test vouchers and other similar requests can be charged for at a rate of not exceeding R15.00 (excluding VAT) per request which cost will be amended from time to time. I/We accept these terms. I/We have read and understood the Terms and Conditions associated with this registration and agreement that is available from on this site. I/We accept these terms. Activation Date (required) Please enter CAPTCHA phrase below Which is bigger 8 or 5? Comments (optional) You will NOT be able to send the registration unless you agree to all the mandatory clauses and have completed all the "required" information. Please contact us if you have any questions or concerns. You will receive a confirmation email on successful registration.