Due to numerous requests to change names I am putting this form
up here. Please complete the form and fax to TERB HQ, requests to change
usernames will be treated on a first come first served basis.
https://terb.cc Request to Change Name:
PROTECTED
Your current username is ? :..............................
Your new username will be ? :......................................
Mother`s Maiden Name.....................................
Age:...................................................
Marital Status:......................................
Sexual Orientation:...............................
Annual Income.......................................
Why do you want to change your username ?
(use a seperate page if necessary)
Ever been convicted of a criminal offence ( YES/NO)..........
If YES, how many years in jail ?..........
Ever beeen banned from TERB before ( YES/NO ?)...................
Your favourite service provider is ?...........................................
How many times a day to you click on a TERB banner ad:
1- Never 2-10 3-25 4-50 5-50+
up here. Please complete the form and fax to TERB HQ, requests to change
usernames will be treated on a first come first served basis.
https://terb.cc Request to Change Name:
PROTECTED
Your current username is ? :..............................
Your new username will be ? :......................................
Mother`s Maiden Name.....................................
Age:...................................................
Marital Status:......................................
Sexual Orientation:...............................
Annual Income.......................................
Why do you want to change your username ?
(use a seperate page if necessary)
Ever been convicted of a criminal offence ( YES/NO)..........
If YES, how many years in jail ?..........
Ever beeen banned from TERB before ( YES/NO ?)...................
Your favourite service provider is ?...........................................
How many times a day to you click on a TERB banner ad:
1- Never 2-10 3-25 4-50 5-50+






