Should you have been introduced to FAX2EMAIL via a registered Fax2Email Agent, please enter the Agents Sales Code here
  
* Indicates required fields 
Company / Individual Details
Name of company or Close corporation or partnership or individual:*
Registration No. or ID No.:*
Co. VAT Registration Number
Telephone No.:* (Incl. area code)
Physical Address 
Street:*
Town / City:*
Postal Code:*
  
Please supply email addresses to be linked to your FAX2EMAIL numbers:

Should you require sending, this is available on a prepaid system, minimum of R100-00 per user to activate this service.Please fax deposit slip to 0866700010 with your reference number being your full name or Company name. Our Banking Details.

NOTE: We do offer sending on postpaid basis subject to approval by Fax2Email (Pty) Ltd.

You will also be required to commplete our debit order form. Please download our Debit Order Form here, right click on link and select "Save Target As..." from the drop down menu"
1st FAX2EMAIL number to be linked to email address........*
Receiving only (Fax2email - FREE)
Sending & receiving
(Email2Fax)
2nd FAX2EMAIL number to be linked to email address........
Receiving only (Fax2email - FREE)
Sending & receiving
(Email2Fax)
3rd FAX2EMAIL number to be linked to email address........
Receiving only (Fax2email - FREE)
Sending & receiving
(Email2Fax)
4th FAX2EMAIL number to be linked to email address........
Receiving only (Fax2email - FREE)
Sending & receiving
(Email2Fax)
5th FAX2EMAIL number to be linked to email address........
Receiving only (Fax2email - FREE)
Sending & receiving
(Email2Fax)
Should you require more Fax2Email numbers, please email us at info@fax2email.co.za
In what format would you like to recieve your incoming faxes? TIFF - image document (default)
PDF - Abobe PDF document
When using EMAIL2FAX, you as the sender pay per minute ( call rates available right click here and select "Save Target As..." ).
 
Right click here and select "Save Target As..." to download Debit Order, complete in full, sign and fax to 086 670 0010.
 
Please click here for Terms & Conditions before submitting this registration form .

On submitting the above information, I hereby declare that I have read and agree to the Terms & Conditions stipulated on this web page.