The Transparency Table

Name *

Stage Name ( if applicable)

Mobile Phone Number *

Best time of day for a pre-interview via phone *

Morning 9:00 - 12:00 Noon

Afternoon 12:00 noon - 5:00 pm

Evening 5:00 - pm - 9:00 pm

Guest Appearance Preference *

I will come to the TV Studio

I prefer Remote from my home or office ( some shows require TV studio, we will advise)

The show is filmed at the PTWWN TV Studio. Please select your preferred month and we will contact you with a TV Taping date. *

November

January 2025

Do you understand that you will be approved to be a guest on this show, based on the information provided and confirmed. If you are not approved, we will contact you with information as to why you were not approved. You also agree that the information you provide us on this form is accurate and of truth. *

Yes

Email Address *

City and State *

Have you appeared on any of our TV Shows in the past? If yes, please list. If not, state No *

How did you hear about us? *

Tell us about yourself and testimony that is relevant to the show. *

Would you be interested in a presentation on how you can have your own TV Show on our network? *

Yes

Our TV show is supported by our advertising partners. In order to continue providing our featured TV shows on PTWWN TV, we may ask guests to participate in brief presentations about our advertisers' products or services. This participation is voluntary and does not obligate you to make any purchases. By agreeing, you acknowledge that you understand this and are willing to participate in these approximately 15-minute presentations if asked. Do you understand and agree to these terms? *

Yes. I understand and agree to participate in the no obligation Ad campaign.

No. I decline to participate in the no obligation Ad campaign.

Television Release Agreement: This Television Release Agreement outlines the terms and conditions governing your appearance as a guest on a PTWWN Broadcasting television show. By participating in the Show, you ("Guest") agree to the following:1. Grant of Rights: You hereby grant PTWWN Broadcasting and its affiliate channels the unrestricted right to record, film, and capture your image, likeness, and performance during your appearance on the Show. This includes, but is not limited to, video, audio, photographs, and any other media .2. Use of Recorded Materials: You permit PTWWN Broadcasting to use the recorded materials, including your likeness and performance, for promotional, publicity, and commercial purposes. This use may extend to, but is not limited to, broadcast on the PTWWN Broadcasting television network, affiliate channels, social media platforms, websites, and any other media as deemed appropriate by PTWWN Broadcasting. 3. Compensation: You acknowledge that your appearance on the Show is voluntary and that you will not receive compensation for your participation. You further understand that PTWWN Broadcasting is not liable for any expenses incurred by you in relation to your appearance, unless otherwise agreed to in writing and signed by the Executive Producer. 4. Travel Allowance: You will not be reimbursed for travel expenses unless a travel allowance has been explicitly agreed to in writing and signed by the Executive Producer. Any such agreement will outline the terms and conditions of the travel allowance, including, but not limited to, reimbursement amounts and acceptable expenses .5. Rights and Licensing: You acknowledge that PTWWN Broadcasting retains all rights, title, and interest in and to the Show, including the recorded materials. PTWWN Broadcasting reserves the right to broadcast the Show one or more times at its discretion.6. Release and Waiver: You hereby release and waive any and all claims or demands relating to your appearance on the Show, including, but not limited to, claims for invasion of privacy, defamation, or exploitation of your likeness. By participating in the Show, you acknowledge that you have read, understand, and agree to be bound by the terms and conditions of this Agreement. You further represent and warrant that you have the legal capacity to enter into this Agreement and grant the rights herein *

Yes

No ( your application will be denied if you select no)

I hereby acknowledge that I have read, understand, and agree to all the terms and conditions outlined in the PTWWN Broadcasting Guest Appearance Agreement. *

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