Kindly answer the following questions:

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* 1. What is your first name?

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* 2. What is your surname?

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* 3. Address

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* 4. Which service would you be interested in?

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* 5. What you be prepared to spend monthly on:

  R100 - R250 R250 - R500 R500 - R750 R750 - R1000 >R1000
High speed internet fibre connection
Camera suburb surveillance
Voice telephone services

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* 7. What is your current internet connection type?

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* 8. Are you aware of your current contractual terms with your ISP?

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* 9. Would you be interested in joining the Fibre To The Home network?

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* 10. Can we contact you when the FTTH network is launched?

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* 12. Are you aware of your current contractual terms on your landline?

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* 13. Please select what you believe to be the most relevant statement:

T