SWAP SHOP TV Submission Form
Name ___________________________________ Phone _________________
Email ___________________________________ Cell # __________________
How do you want to be contacted by callers: Email ___ Phone ___ Cell ____
Items being submitted for program (Limit 3 per Form)_________________________________________________
Description (Include model, S/N, size, colors, condition, or anything important to help viewers)
Item1________________________________________________________________________________
_____________________________________________________________________________________
_________________________________________________________________________$___________
Item2________________________________________________________________________________
_____________________________________________________________________________________
_________________________________________________________________________$___________
Item3________________________________________________________________________________
_________________________________________________________________________$___________
Check one or both: For Sale _______ Swap _______ Item interested in for swap ________________
_____________________________________________________________________________________
I have provided pictures _____ Number of pictures submitted ______ (min. 3) Digital ___ Copies ___
My pictures and forms were; Emailed ____ Mailed ____ Date sent __________
I would like for someone to come to my location for pictures ____ and/or Video ____ (additional charge)
Per Form Pricing: $10 (Items is less than $1,000) $20 (Items is $1,000 or less than $10,000)
$50 (Items is $10,000 or less than $50,000) $100 (Items are $50,000 or more)
Payment is for 4 weeks, one rotation per week, usually weekends. Programming repeats every 3 ½ hrs.
If you want to continue running an item, please contact us 1 week prior to your item expiring!
Payment in Advance by Money Orders or cash accepted; make Money Order to: NOW Productions
Mail All 3 forms with your payment and pictures to: NOW Productions Company, P.O. Box 2619, Valdosta, GA. 31604
I submitted a signed Broadcast Media Release and Limited Liability Form: yes ___ no ___ If you
have any questions please call David Neck at 229-460-3966 or Email dnecknow@hotmail.com