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Books of the Month Show
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
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Name
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Mobile Phone Number
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Best time of day for a pre-interview via phone
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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
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Guest Appearance Preference
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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
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City and State
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How did you hear about us?
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Tell us about yourself, book title and summary of the book.
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Do you carry any of these titles?
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Pastor
Coach
Therapist
Medical Doctor
Counselor
Other
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.
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Yes
No
You agree to participate in our sponsor-supported Ad campaign.
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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?
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Yes
No
Would you be interested in having your own weekly TV Show?
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Yes
No
List the month you would like to be a guest on the show. We will contact you with the available dates.
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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.
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Yes
No ( your application will be denied if you select no)
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