Landline Telephone and Broadband Application

1 Start 2 Complete

Saturday, January 22, 2022 - 17:31

GTT will communicate with you regarding this request by email only. An email will be sent to the address provided as soon as this request has been completed.

Requested Service/s *

Already have a modem? *

Yes

Modem Pickup or Delivery *

Pickup

Service Type *

Name of Business *

Type of Business

Service Address

House/Lot Number *

Prefix Direction

Street Name *

Street Suffix

Village *

Great news! If your village is not listed on this application page, your area supports GTT Fibre!. Click here to learn more and sign up for high speed internet.

City *

Customer Information

First Name *

Last Name *

Nearest Telephone # *

Neighbour’s Home Phone # that has service.

Telephone # to be used *

Landline # for DSL Service

Authorized Contact First Name *

Authorized Contact Last Name *

Mobile Contact Number *

Enter mobile number to receive SMS updates on your application

Email Address *

Confirm Email *

ID Type *

ID # *

Identification *

Upload an image of your Identification
Files must be less than 4 MB.
Allowed file types: gif jpg jpeg png pdf.

Cert. of Incorporation/Business Registration *

Files must be less than 4 MB.
Allowed file types: gif jpg jpeg png pdf doc docx.

Additional Document

For NGOs , Schools & Lawyers a stamped letter is required
Files must be less than 4 MB.
Allowed file types: gif jpg jpeg png.

Additional Document (Residential)

For renters, please upload tenancy agreement and/or power of attorney
Files must be less than 4 MB.
Allowed file types: gif jpg jpeg png.

DSL Service Options

Residential DSL Service Options

GOLD [$7,999]

SILVER [$5,699]

Business DSL Service Options

GOLD [$19,799]

SILVER [$17,399]

BRONZE [$11,799]

Other persons authorized to make changes (full name)

Telephone #

Pickup or Delivery

Pickup location *

Courier *

Select Your Location (One Cart) *

If you do not see your location, please contact One Cart at 627-3977 for details.

Select Your Location (Hero Cart) *

If you do not see your location, please contact Hero Cart at 623-3500 for details.

Delivery Price $

Deliver to address above? *

House/Lot Number *

House Lot Suffix

Street Name *

Village *

City *

Directions

Please add basic directions to your home from the nearest main road.

Indicate the best time for delivery: *

7AM – 12NOON

12NOON – 5PM

Please click here to read terms and conditions.

Disclosure *

I hereby declare that the information provided in this application is true, complete and correct to the best of my knowledge and belief. I understand that in the event that if my information is found to be false or incorrect at any time, this shall result in the termination and disconnection of my service(s) with GTT. Where applicable, I do acknowledge the provision of false information may result in additional penalties pursuant to the laws of Cooperative Republic of Guyana.

terms and conditions *

I agree to the terms & conditions.

Billing Method *

I hereby acknowledge and accept that I will receive billing and communications by way of WhatsApp, MY GTT mobile app, MY GTT web portal, and/or email.

Account Communication *

I am aware that communication regarding this application and my service from GTT, will be done via the email address and mobile contact number I have provided to GT&T in this application.

Internal Use Only

Sales Channel

CSR's Name