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DSL to Blaze

1 Start 2 Complete

Application

Application Type *

Application Date

Promo Code *

DSL Phone Number *

Blaze Plan *

Gold Packages

DSL Gold to Blaze *

DSL Gold 10mbps to Blaze Flaming 20mbps (September 30, 2020)

DSL Gold 10mbps to Blaze Inferno 50mbps (6 Months)

Silver Packages

DSL Silver to Blaze *

DSL Silver 5mbps to Blaze Flaming 20mbps (September 30, 2020)

DSL Silver 5mbps to Blaze Inferno 50mbps (6 Months)

Bronze Packages

DSL Bronze to Blaze *

DSL Bronze 1.5mbps to Blaze Ignite 5mbps (September 30, 2020)

DSL Bronze 1.5mpbs to Blaze Flaming 20mbps (6 months)

DSL Bronze 1.5mpbs to Blaze Inferno 50mbps (3 months)

Account Information

Account Owner’s First Name *

Account Owner’s Last Name *

Email Address *

Confirm Email Address *

Mobile Contact Number *

Landline 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.

Upload Proof of Address *

Driver’s Licence, Utility Bill, Bank Statement, Recent Letter with Stamp (Issued within the last 6 months) Proof of Address must be in your name and of the residence being applied for
Files must be less than 4 MB.
Allowed file types: gif jpg jpeg png pdf doc docx.

Battery Back-Up (One time charge of $5,000) *

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

Internal Use Only

LCP

Please enter a value for LCP

Sales Code

format: ABC-1234

Sales Channel

Please enter a value for Sales Channel.

Sales Agent Name

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

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.

GDPR *

By clicking, you are giving consent to your data being stored in line with the guidelines set out in our Privacy Policy

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