Landline Telephone and Broadband Application

Thursday, October 29, 2020 - 07:22

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 *

DSL only

Landline only

Landline & DSL

Service Type *

Name of Business *

Type of Business

Service Address

House/Lot Number *

Prefix Direction *

Street Name *

Street Suffix *

Village *

City *

Customer Information

First Name *

Middle Initial

Last Name *

Nearest Telephone # *

Telephone # to be used * 592-

Authorized Contact First Name *

Authorized Contact Last Name *

Mobile Contact Number * 592-

Email Address *

Confirm Email *

ID Type *

ID # *

Date of Birth

Month

Day

Year

Place of Employment *

Position *

Telephone # *

Identification *

Upload an image of your Identification
Files must be less than 10 MB.
Allowed file types: gif jpg jpeg png pdf.

Cert. of Incorporation/Business Registration *

Files must be less than 10 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 10 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 10 MB.
Allowed file types: gif jpg jpeg png.

Is your lot

lot info 1 *

Single

Double

lot info 2 *

Own

Rent

Years at location *

If property is a double lot indicate which point same is situated:

Eastern

Western

Northern

Southern

Property has more than one lot

Yes

No

If yes, choose an option

First

Second

Third

Fourth

DSL Service Options

Residential DSL Service Options

GOLD [$10,299]

SILVER [$9,199]

BRONZE [$6,599]

Business DSL Service Options

GOLD [$19,799]

SILVER [$17,399]

BRONZE [$11,799]

Are you the legal renter of the line? *

Yes

No

If no, kindly submit authority to use landline or effect temporary name change.

Have you or any other member of your household had telephone service before? *

Yes

No

If yes, contact:

Other persons authorized to make changes (full namel)

Telephone #

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 not receive a paper bill for this service and that I will access my bills by way of the MyGTT mobile app and MyGTT web portal.

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