Books of the Month Show Updated

If you are a publisher or agent calling on behalf of an author? STOP Do NOT complete this form. Please call 404 836 3838 ext. 1009 or 1003 *

Name *

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

Title of Book and brief summary of the book *

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)

Email Address *

City and State *

How did you hear about us? *

Tell us about yourself, book title and summary of the book. *

This is a Sponsor Supported Television Show and there is no fee requirement to become a tv guest unless you choose to invest in add-on products or services that we may offer from time to time. *

Yes

No

You agree to participate in our sponsor-supported Ad campaign. *

Yes

No

Optional Add On Service

Book Movie Trailer - I would like a 30-60 second book trailer movie for my book. I would like it to run on the network for 150 times in a 3 month period for maximum exposure of my book. I understand that I can also use the book-movie trailer for my personal and social media use. $450.00

Would you be interested in a free consultation with one of our producers about turning your book into a documentary or movie? *

Yes

No

Desired Guest Appearance Date? The official confirmation email will confirm available date. *

Would you be interested in having your own weekly TV Show? *

Yes

No

TV Release RELEASE FORM - You grant PTWWN Broadcasting and its affiliate channels permission to film you as a guest on one of our flagship TV shows. You also grant us permission to use your likeness, images and video clips for promotional and publicity purposes on our television network, affiliate channels, social media, websites, etc. You understand that there is no compensation as a guest on the television show. You also agree that there is no travel allowance unless it is in writing signed by the executive producer. We hold the rights and licensing of this television show and have the right to rebroadcast the show more than once. *

Yes

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