First Name

Last Name

Phone *

Email *

State

City

What area will you be partnering with us ?

Counseling

Coaching

Prayer Partner

Therapist

Evangelistic

Other

Name of practice, ministry or organization

List what other is (if applicable)

Work Experience - Please provide a brief overview of your profession, including your experience, qualifications, licensing, certifications, and credentials.

A non-refundable $349.00 production fee covers your 30-second commercial. The ad will run on our network and social media, and you're free to use it on your personal marketing channels.

Yes I understand and agree

You understand that the advertising phone number is free and the 60 thirty advertising spots on our network is free. The clause pertaining to this agreement is that if you have less than 50 calls a month, your service will be disconnected and we will no longer offer the free service to you due to the expense of the phone number.

Yes I understand and agree

Your free dedicated line includes AI promotion of PTWWN Broadcasting services. For $295/month, you can upgrade to remove these ads and receive extra AI features and commercial spots. Upgrade optional - ask for details if interested.

Yes I would like the free version

No, I would like to upgrade to the paid version and receive additional features.

All parties will protect caller privacy. PTWWN Broadcasting will keep call transcripts and may use them to offer services to select callers. You will also receive copies of all call transcripts for further communication with callers.

Yes I agree

Referral Program: Earn $95.00 for each new service provider you refer who signs up. Payments are made by ACH transfer - we'll collect your banking details before your first payout. You'll need to submit a W9 form as you're responsible for all applicable taxes.

Yes I understand and agree

Payment - $349.00

I agree for a representative to call me or send me an invoice to process video production payment within 24 hours.

I Consent to Receive SMS Notifications, Alerts & Occasional Marketing Communication from company. Message frequency varies. Message & data rates may apply. Text HELP to (XXX) XXX-XXXX for assistance. You can reply STOP to unsubscribe at any time.