| You've never been closer than you now are to becoming a member of THE TERRY S. FAN CLUB |
| there's never been a better time to join... |
| First Name |
| Middle Name |
| Last Name |
| Date of birth |
| Address |
| Credit card number |
| Are you excited by little boys? |
| Password |
| Re-enter password |
| Are you gay? (compulsory) |
| I sign over my power of attorney to UNBOMSCO |
| Please note: If you tell a lie in this form you will be found and shot ( no questions asked) |