Sign Up Now

If you need more information about GNI's Internet services and would like us to call you back to answer your questions, please use the "Contact Us" form instead of completing the form on this page.

If you are ready to proceed with signing up for Internet service, please complete all relevant fields on this form. Fields marked with a '*" are required. Please check to confirm that you're inside our Coverage Area before completing this form. Once we receive this form, we'll contact you to confirm the details and determine a suitable installation date and time. Please note: you must be 18 years or older in order to request service.

* Your full name: 
  
Full legal 'Bill to' company name (if applicable): 
  
Current e-mail address: 
  
* Phone #: (use numbers only) 
   eg. 2047465555
Alternate phone #: (use numbers only) 
   eg. 2047465555
* Billing address:

 

* City:
  
* Postal code: (use characters only, no spaces)

- eg. R0G1K0
For rural customers: 5-digit number on the green sign at the end of your driveway:
  
* Detailed directions to your location from the nearest town and a site description, ie.recognizable landmarks on or near your property: 
 -

* Building style:

  

* Roof style:

  
* Roof pitch:  
* Basement details:  
* We:

that can be used if needed.
* We are located within 9 miles of the following towns (hold down your [Ctrl] key and click all towns that apply):
  
* We:
* We:



* Choose your Internet package:

-

* To which e-mail account should GNI send your invoices and notifications?

A new '@GNInc.ca' e-mail account, eg. JDoe@GNInc.ca:
An existing e-mail address, eg. JDoe@GMail.com:
* The one-time AND monthly Internet service charges will be paid by pre-authorized automatic:

Bank account withdrawal
Credit card withdrawal - NOTE: GNI will call you to get the card details.
  _ _