Sign Up!

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: Company name (if applicable):

Phone number: Alternate phone number:

Current e-mail address: Billing address:

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

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:

Building style:
Roof style:
Roof pitch:
Basement details:







Do you have an existing tower or roof-mounted mast that can be used if needed? YesNo

We are located within 9 miles of the following towns (Check all towns that apply):
AubignyBrunkildDomainLa SalleMorrisRosenortSperling

Do you have a clear line of sight to at least one GNI access point? YesNo

Are there trees around your house and do not see a possible GNI access points? YesNo

Do you own or rent/lease the building where you want service? OwnRent/Lease

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.caAn existing e-mail address, eg. JDoe@GMail.com
Email address:

The one-time AND monthly Internet service charges will be paid by pre-authorized automatic:
Bank account withdrawalCredit card withdrawal - ( GNI will call you to get the card details.)