subject_line
Name
*
Preferred Title
*
Pastor
Bishop
Apostle
Elder
Minister
Prophet
Evangelist
Rev.
Dr.
Host
None
Other
Email Address
*
Todays Date
*
Phone with area code
*
Name of broadcast
*
What day of the week is your broadcast scheduled for?
*
Please List selected channels.
*
Preach The Word Atlanta Georgia
Preach The Word Detroit Michigan
Preach The Word *San Bernardino California
Preach The Word Worldwide
Preach The Word*Upstate New York
Scheduled Time of Broadcast ( list am or pm please)
*
I understand my broadcast/Video on demand membership is for 26 weeks.
On-Demand Plus TV allows viewers never to miss your TV Broadcast! The On Demand player will house all your videos and live stream your 24/7 channel. Video on demand will increase views and revenue with the Live Streaming Channel features. The On-Demand and Live TV Channels have many features to help monetize your content. Features include
1. pre and mid-roll ads to run at the beginning or middle of your content.
2. Social Media Sharing
3. Embed player on your website
4. Donation link embedded on the player so viewers can donate while watching the show
*
Monthly Video On Demand Membership - $149.00 a month
Video on Demand (26 week Prepay Discount)- save 10% Pay only $804.60
Video on Demand (26 week Prepay Discount)- save 10% Pay only $804.60
I understand Video on Demand is a monthly subscription charge of $149.00 or a one-time payment of 804.60 .83 for 26 weeks. I understand there is an early cancellation fee of $85.00.
*
Yes
Card Holder Name
*
Credit Card Numnber
*
Card Type
*
Visa
MasterCard
American Express
Discover
Expiration Date
*
3 Digit Code ( 4 digit code if American Express)
*
Billing Address
*
City
*
State
*
Billing Zip Code
*
I authorize PTWWN Broadcasting to process recurring card payment(s) by phone or from this form for PTWWN Broadcasting services/ membership fees. I understand All fees are non-refundable.
*
Yes
No
We will need a professional 8.5 flyer to post on our website for viewers can visit your On Demand/Live Channel where your videos will be seen. Please provide us with a recent picture of yourself if you would like us to create the flyer for you. If you prefer you can create your own and upon receipt we will need to approve it. If you do not have it to upload now please email us your picture at tvbroadcast@ptwwntv.com