All fields are mandatory
Bulk SMS Order Form
Partner Name
Partner Finance Contact: Mobile Phone No: Email Address:
Partner Business Contact: Mobile Phone No: Email Address:
Bulk SMS Rates (Incl. of taxes)
25,000-124,999 125,000-524,999 525,000-1,024,999 1,025,000 -5,024,999 5,025,000-10,024,999 >10,025,000
Volume Bands
New SFL Price 1 0.8 0.6 0.4 0.2 0.1
SERVICE PROVIDER ID
Quantity Ordered
25,000 (SPID)
Purchase Price 25,000.00
* Bulk SMS is valid for 60 Days
* All prices are inclusive of taxes
* The minimum number of SMS to qualify for the next tariff band is 25,000 above the current tariff band volume
Payment details:
Account Name: Account #: Cheque No:
Date: Signed by Purchasor:
E & OE Accepted
Safaricom Internal Use
Administration Checklist
Credit worthiness
checked Volume requested Bulk SMS Fee amount
Code requested Cheque Amount
Trust Applicant Validity 60 Days
Setup details Oracle Account setup (Optional)
Partner needs to be set up for: Tick if required
Payment Yes No
Name Signature Date
Invoices & Credits Yes No
Consumer Products & Services
Business Performance
Credit Limit: (If applicable) Yes No Account Receivables
Terms and Conditions
This order will take 6hrs to process upon receipt of payment
All payments must be accompanied with this order form in the form of Cash, Bankers Cheque or Company Cheque
Please ensure that if there are any outstanding balances for payment of Short code fees, they must be cleared before this process is ordered
All net offs must be accompanied by a credit Note
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