PTWWN Broadcasting Membership Association

First Name

Last Name

Phone *

Email *

Select the top 3 reasons you are joining this membership association

Free TV Show airtime

To get discounts on a documentary, TV Show or movie production

Discounted TV Advertising

Free Tela Doc Visits and other health benefitsOption 3

Discounts on Counseling and Therapy

To save on hotel, airfare and reesort travel

To save on electronics and other offers

Ministry TV Training

I just want to be a blessing and support Inspirational TV

Would you be interested in getting more information from our featured TV Advertisers about any of the services listed below. Please select.

How to get your degree online from the comfort of your home

How to publish a book

I need help with back taxes

None

Membership Payment Options

I would like to pay the $99.00 admin fee and the $49.00 later

I would to pay the full amount and start my membership now

Would you like to become an affiliate and refer others to us and receive a $50.00 cash referral.

Yes

If you have referrals for membership, please provide us with their name and phone number and we will give them a call.

Signature to agree to terms of a 12 month membership agreement. *

Clear

Do you understand that upon submitting this form, you will be asked to pay the membership fee(s). All payments are non refundable.

Yes

By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply.Reply HELP for help or STOP to opt-out.

By checking this box, I consent to receive marketing and promotional messages, including special offers, discounts, new product updates among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.