Connex Application

Application Date

Account Category

Referral Account Number

Company Name

Account Information

Applicant's First Name

Applicant's Last Name

Email Address

Confirm Email

Mobile Contact Number

Home Phone

Alternate Phone

Company Address

Building/Lot Number

Prefix Direction

Street Name

Village

City

Directions

Landlines

Do you have an existing landline?

Number of existing landlines

Current Landline Number

Number of landlines needed

Best Time to Contact

7AM-12PM

12PM - 5PM

5PM - 9PM

ID Type

ID Number

Upload ID

One file only.
10 MB limit.
Allowed types: gif, jpg, jpeg, png, pdf, doc, docx.

Is there an existing GTT Modem installed?

Upload Proof of Address

One file only.
10 MB limit.
Allowed types: gif, jpg, jpeg, png, pdf, doc, docx.

Are you upgrading from DSL to Biz Fibre

Yes

Are you a tenant at or owner of the premises?

Tenant

Owner

Connex Plan

Select Plan

ConneX 200

ConneX 400

ConneX 600

conneX 1G

Contract Period

2 Years

Connex Plans

	Connex 200	Connex 400	Connex 600	Connex 1G
Download Speed	Up to 200 Mbps	Up To 400 Mbps	Up to 600 Mbps	Up to 1024 Mbps
Upload Speed	Up to 75 Mbps	Up to 1000 Mbps	Up to 250 Mbps	Up to 500 Mbps
Free Minutes ON-NET calls (USA & Canada included)	5,000	10,000	15,000	UNLIMITED ON NET & OFF NET
Monthly Service Fee	$18,999	$25,999	$37,999	$80,000

Migrate your current landline number
Caller ID & call waiting included

*A one time installation fee of $22,800 applies.

BizFibre Plan

Select Plan BizFibre

Biz Fibre Voice

Biz Fibre 50

BizFibre Plans

	Biz Fibre Voice	BizFibre 50
Download Speed	Not Applicable	Up to 50 Mbps
Upload Speed	Not Applicable	Up to 25 Mbps
Free Minutes ON-NET calls (USA & Canada included)	1,000
Monthly Service Fee	$3,500	$14,999

*A one time installation fee of $22,800 applies.

Business Phone Plan

Call Type	PAYG/Overage Pricing
Biz to Biz	$2.50 per min
Biz to Landline	$14.00 per min
Biz to Mobile	$18.00 per min

LCP

Sales Code

Sales Channel

Sales Agent Name

Name and ID of Staff Referred

I agree to the terms & conditions.

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.

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.

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

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.