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Redneck Driver's Application
Plez compleet this paper, best ya can.
Last name: ________________
First name:
[_] Billy-Bob   [_] Bobby-Sue
[_] Billy-Joe   [_] Bobby-Jo
[_] Billy-Ray   [_] Bobby-Ann
[_] Billy-Sue   [_] Bobby-Lee
[_] Billy-Mae   [_] Bobby-Ellen
[_] Billy-Jack  [_] Bobby-Beth Ann Sue
Age: ____ (if unsure, guess)
Sex: [_]M [_]F [_]None
Shoe Size: ____ Left ____ Right
Occupation:
[_] Farmer        [_] Mechanic
[_] Hair Dresser  [_] Waitress
[_] Un-employed   [_] Dirty Politician
Spouse's Name:  __________________________
2nd Spouse's Name:  __________________________
3rd Spouse's Name:  __________________________
Lover's Name:      __________________________
2nd Lover's Name:     __________________________
Relationship with spouse:
[_] Sister   [_] Aunt
[_] Brother  [_] Uncle
[_] Mother   [_] Son
[_] Father   [_] Daughter
[_] Cousin   [_] Pet
Number of children living in household: ___
Number of children living in shed:      ___
Number of children that are yours:      ___
Mother's Name: _______________________
Father's Name: _______________________
Education: 1 2 3 4 (Circle highest grade completed)
If you obtained a higher education what was your
major?
[_] 5th grade     [_] 6th grade
Do you [_] own or [_] rent your mobile home?
Vehicles you own and where you keep them:
___ Total number of vehicles you own
___ Number of vehicles that still crank
___ Number of vehicles in front yard
___ Number of vehicles in back yard
___ Number of vehicles on cement blocks
Age you started drivin ______ (If over 10 are you are
still slow lerrnin ? [_] Yes [_] No)
Firearms you own and where you keep them:
____ truck         ____ kitchen
____ bedroom       ____ bathroom/outhouse
____ shed          ____ pawnshop
Model and year of your pickup: _____________ 194_
Do you have a gun rack?
[_] Yes [_] No; If no, please explain:
Newspapers/magazines you subscribe to:
[_] The National Enquirer    [_] The Globe
[_] TV Guide                 [_] Soap Opera Digest
[_] Rifle and Shotgun        [_] Bassmasters
___ Number of times you've seen a UFO
___ Number of times you've seen Elvis
___ Number of times you've seen Elvis in a UFO
How often do you bathe:
[_] Weekly
[_] Monthly
[_] Not Applicable
How many teeth in YOUR mouth? ___
Color of teeth:
[_] Yellow  [_] Brownish-Yellow
[_] Brown   [_] Black
[_] N/A
Brand of chewing tobacco you prefer:
[_] Red-Man                  [_] Skoal
How far is your home from a paved road?
[_] 1 mile
[_] 2 miles
[_] don't know



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