Enhanced DSL Application Form

1 Start 2 Complete

Application Date

Account Information

Account Owner’s First Name *

Account Owner’s Last Name *

Email Address *

Confirm Email *

Mobile Contact Number *

Home Phone

Alternate Phone

House/Lot Number *

House/Lot Suffix

Prefix Directional

Street Name *

Village *

City *

Documents

ID Type *

Account Owner's ID *

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

Proof of Address *

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

Additional Documents

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 pdf doc docx.

Authorised Persons to make changes

First Name *

Last Name *

Upload ID *

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

Speed

Plan *

Bronze (1.5 Mbps) $6,599

Silver (5 Mbps) $9,199

Gold (10 Mbps) $10,299

Platinum (20 Mbps) $11,799

Effective Date *

Month

Day

Year

Sales Code

Sales Channel

Sales Agent Name

Please click here to read terms and conditions.

Terms agreement *

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.

Enhanced DSL Application Form

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