Reference NumberStore & Manager DetailsStore Manager Name & Surname(Required) First Last Store Manager Email(Required) Select the company you are representing(Required)Select your CompanyCellucity RetailBecauseWeCanRegion(Required)Select your regionCellucity Retail – KwaZulu NatalCellucity Retail – Eastern CapeCellucity Retail – GautengCellucity Retail – Western CapeRegion(Required)Select your regionBecauseWeCan – Western CapeKwaZulu Natal(Required)Select your branchCellucity – Galleria MallCellucity – Gateway Theatre of ShoppingCellucity – The Pavilion MallVodacom Shop – King Shaka International AirportEastern Cape(Required)Select your branchCellucity – Baywest MallCellucity – Hemingways Mall (East London)Cellucity – The BridgeCellucity – Walmer ParkGauteng(Required)Select your branchCellucity – Bedford CentreCellucity – Benmore CentreCellucity – Clearwater MallCellucity – Mall of AfricaCellucity – Melrose ArchCellucity – The Grove Mall (Pretoria)Vodacom Shop – OR Tambo International Airport ArrivalsVodacom Shop – OR Tambo International Airport DepartuesWestern Cape(Required)Select your branchCellucity – Canal WalkCellucity – Cavendish SquareCellucity – Kenilworth CentreCellucity – N1 CentreCellucity – Somerset MallCellucity – The Point MallCellucity – Tygervalley CentreCellucity – V&A WaterfrontVodacom Shop – V&A WaterfrontVodacom Shop – Cape Town International Airport ArrivalsVodacom Shop – Cape Town International Airport DeparturesCellucity WarehouseBecauseWeCan(Required)Select your branchCellucity – The PaddocksVodacom Shop – Blue Route MallVodacom Shop – Cape QuarterVodacom Shop & Repairs – Canal WalkDeal Reversal DetailsReversal type(Required)Please selectContractUpgradeWas there a device issued on the deal(Required)Was there a device issued on the dealYesNoWill the devices be used for reactivation(Required)Will the device be used for re-activationYesNoReactivation DevicesList of Devices Device Make and Model Device IMEI Actions Edit Delete There are no Entries. Add Entry Maximum number of entries reached. Date Deal Activated(Required)DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Date Reversal Requested(Required)DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Number of days cutomer has had the deal(Required)How will the device be resold?(Required)Client Name & Surname(Required) Name Surname Customer Contact Number(Required)Cell number used on deal(Required)Dealsheet number(Required)Is the same dealsheet number being used for reactivation(Required)Please selectYesNo – A new dealsheet to be usedNo – No contract reactivation to be doneNew Dealsheet Number(Required)Motivation for the request(Required)Supporting DocumentsDocument upload(Required)Max. file size: 10 MB.Company letterhead signed by managerDocument upload(Required)Max. file size: 10 MB.Original documents with receipt
