Blaze Online Application

1 Start 2 Complete

Application Type *

Application Date

Account Information

Account Owner's First Name *

Account Owner's Last Name *

Email Address *

Confirm Email Address *

Mobile Contact Number *

Home Phone *

Alternate Phone *

House/Lot Number *

House/Lot Suffix

Prefix Directional

Street Name *

Village *

City *

Directions

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

Best Time to Contact *

7AM - 12PM

12PM - 5PM

5PM - 9PM

ID Type *

ID Number *

Is there an existing GTT Blaze Modem installed? *

Upload ID *

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

Blaze Plan

Select Plan *

IGNITE INTRO

IGNITE

FLAMING

INFERNO

	Ignite Intro**	Ignite	Flaming	Inferno
Download Speed	Up to 10Mbps	Up to 10Mbps	Up To 20Mbps	Up to 50Mbps

Upload Speed	Up to 2Mbps	Up to 2Mbps	Up to 8Mbps	Up to 15Mbps

Monthly Service Fee	$5,499	$8,999	$10,999	$13,999

Monthly Equipment Rental	$1,500	$1,500	$1,500	$1,500

*A one time installation fee of $20,000 applies. This charge will appear on your first or second bill.

**Monthly service fee is applicable for Ignite Intro for a 12 month period only.

Phone Plan

Call Type	Free Bundle Minutes	PAYG/Overage Pricing
Blaze to Blaze	450	$2.50 per min
Blaze to Landline	450	$14.00 per min
Blaze to Mobile	na	$18.00 per min

Customers with an existing DSL account

Are you upgrading from DSL to Blaze

YES

Internal Use Only

LCP

Please ensure you have entered values for LCP and Sales Channel.

Please enter a value for LCP

Sales Code

format: ABC-1234

Sales Channel

Please enter a value for Sales Channel.

Sales Agent Name

Please click here to read terms and conditions.

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.

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.