22-23 Broadcast App Fixed Rate

First Name *

Last Name *

Today's Date * +

Name of Ministry, church, or organization? *

Email Address ( Required) *

Phone with area code *

Preferred Title *

City *

State *

Name of the representative or recruiter who referred you. *

You agree to a 26 week ( 6 month) term agreement that is renewable. You agree to give us a 60 day notice if you must cancel your agreement. *

Yes

No

Please list the name of your Television Broadcast. (If you have not decided, Please Type "TBD") *

Please select how you would like to monetize your TV Broadcast. *

I would like Commercial Ad Campaigns

I only will only accept donations

Both

Do You understand that you will receive 26 weeks (one season) of weekly TV airtime, plus a personalized 24/7 On Demand Video Portal. *

Yes

What will be the focus of your television show? Tell us about it? *

This agreement starts on the date you submit this application, and you have a 45-day upload grace period to begin uploading content.

Do you acknowledge we are a Christian and inspirational TV network, and we do not permit fowl language, name bashing, hate, sexual explicit or content related to the occult.

TV airtime does not include filming and editing *

Yes. I understand and Agree.

I understand that all of my footage cannot contain music or images that are copyright protected unless I have written permission from the content publisher. If found, I am responsible for all penalties of the law and fees accessed by PTWWN TV and will be subject to cancellation of my TV show due to copyright infringement. *

Yes

I understand that I own full rights to my content. However, I give PTWWN TV limited rights to use my content's video clips and images for advertising and promotional purposes. (Type YES) *

Do you understand that we are not responsible for acts of GOD or system schedule errors that would prohibit programming from airing at the designated time? Acts of GOD include but are not limited to an unusual outage in electricity, internet, satellite, cable, fiber, storms, fire, earthquake, floods, sudden illness, or other acts of GOD. There could also be an urgent need for emergency broadcasting. We agree to broadcast your programming at a different time slot in these circumstances. *

Yes

Provide five days and times you would consider having your broadcast air on PTWWN TV. You may choose between 1:00 AM EST - 5:00 PM EST. We will confirm the closest day/time available. Please note 6:00 PM-12:30 AM EST requires the selection of at least three channels. *

Do you understand and agree if you do not send in programming weekly, we have the right to air past episodes? If you do not have enough past episodes, we have the right to broadcast replacement shows. *

Yes

Payment Options *

$450.00 monthly

Pay six months in advance

What is your Facebook address? ( if none state none) *

What is your Instagram address? ( if none state none) *

Optional Broadcasting Services ( not required)

I am interested in adding the following partner Comcast/Spectrum local cable stations. I understand I am responsible for the weekly rate and will be required to set up monthly recurring billing for selected channels. *

Method of Payment *

Visa

Mastercard

American Express

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Would you like to sign up as a PTWWN TV advocate and earn extra money referring new broadcasters to us? *

Yes

No

I am already a PTWWN Advocate

I authorize PTWWN Broadcasting to process my card payment(s) by phone or from this form for the PTWWN Broadcasting online school training and any other service if applicable. I understand All fees are non-refundable. *

Yes

Signature *

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