Samsung Galaxy A3 Core @ R1699 Cash Price or R419 PM x4 Lay-ByeTechno Pop 2 Mini @ R429 Cash Price or R99 PM x4 Lay-ByeNokia C2 @ R1549 Cash Price or R379 PM x4 Lay-ByeHTC Lite Wildfire @ R1599 Cash Price or R399 PM x4 Lay-ByeOppo A15 @ R2999 Cash Price or R749 PM x4 Lay-ByeMobicel Glo @ R429 Cash Price or R99 PM x4 Lay-ByeHisense U605 @ R549 Cash Price or R129 PM x4 Lay-ByeHisense Infinity U40 @ R1299 Cash Price or R319 PM x4 Lay-ByeName*Surname*Contact Number*Email address*Please select your province*Please select your closest storeEastern CapeFree StateGautengKwaZulu-NatalLimpopoMpumalangaNorthern CapeNorth West ProvinceWestern CapeEastern Cape: Please select your closest store*Please select a store closest to youEast LondonGeorge - Garden Route MallJeffreys BayMthatha - Mthatha PlazaPort Elizabeth - GreenacresPort Elizabeth - Walker Drive Free State: Please select your closest store*Please select a store closest to youBethlehemBloemfontein - Lochlogan WaterfrontBloemfontein - Preller PleinUpingtonGauteng: Please select your closest store*Please select a store closest to youAlberton - Alberton City MallBoksburg - East Rand MallBrakpan - Mall @ CarnivalBrits - Brits MallCenturion - Forest HillGermiston - Golden Walk MallJohannesburg - Carlton CentreJohannesburg - CrestaJohannesburg - EastgateJohannesburg - FourwaysJohannesburg - GreenstoneJohannesburg - Mall of the SouthJohannesburg - NicolwayJohannesburg - NorthgateJohannesburg - Randpark Ridge MallJohannesburg - RosebankJohannesburg - Sandton Johannesburg - SouthgateJohannesburg - The GlenKrugersdorp - Cradle StoneLenasia - Trade Route MallMidrand - Mall of AfricaMidrand - Vodacom WorldPretoria - Brooklyn MallPretoria - CenturionPretoria - KolonnadePretoria - Menlyn ParkPretoria - SunnyparkPretoria - WonderparkPretoria - WoodlandsRoodepoort - ClearwaterRoodepoort - WestgateSoweto - Maponya MallKwaZulu-Natal: Please select your closest store*Please select a store closest to youAmanzimtoti - Galleria ArbourtownBalito - Balito JunctionDurban - MusgraveDurban - PavilionHillcrestPietermaritzburg - Midlands MallRichards BayShelly Beach - Southcoast MallThe BluffUmhlanga - GatewayLimpopo: Please select your closest store*Please select a store closest to youMakhadoPolokwane - Mall of the NorthPolokwane - Savannah MallThohoyandou - ThavhaniTzaneenMpumalanga: Please select your closest store*Please select a store closest to youHazyviewNelspruit SecundaWitbank - Highland MewsWitbank - Highveld MallNorthern Cape: Please select your closest store*Please select a store closest to youDouglasKathuKimberley - Diamond PavilionKurumanOraniaPostmasburhUpingtonVryburg - De Kock StrVryburg - Market StrNorth West Province: Please select your closest store*Please select a store closest to youKlersdorp - MatlosanaPotchefstroomRustenburgVanderbijlpark - Vaal MallWestern Cape: Please select your closest store*Please select a store closest to youCape Town - Cape Gate Cape Town - CavendishCape Town - ConstantiaCape Town - Garden CentreCape Town - Long Beach MallPaarlSomerset West - Somerset MallSomerset West - WaterstoneStellenbosch - EikestadTable BayVangateWorcesterSUBMITPlease note that this application form is only for lead generation purposes. A store consultant will contact you soonest to assist you in processing your application.This field should be left blank