Post by trkyhunter on Jul 15, 2004 17:08:58 GMT -5
Last Name: ________________
First Name:
_____________-Bob
_____________-Ann
Nickname: _______________________
CB Handle: ______________________
Address (RFD No.): ________________--____________
Sex: ____ M _____ F _____ Don't remember
Age: ________
Neck Shade (check one):
(_)Light Red
(_)Medium Red
(_)Dark Red
Number of teeth exposed in full grin:
Upper_____ Lower_____
Shoe Size: ____ Left ____ Right
Spouse’s Name: __________________________
Relationship with spouse:
(_) Sister or Brother
(_) Aunt or Uncle
(_) Mother or Father
(_) Son or Daughter
(_) Cousin
Number of children living in household: _____
Number that are yers: _____
Name of Son(s):
(_)Bubba
(_)Jim Bob
(_)LeeRoy
(_)J.D.
Name of Daughter(s):
(_)PammySue
(_)Billie Jo
(_)Bobbi Jo
(_)Daisy
Mother’s Name: _______________________
Father’s Name: _______________________ (If not sure, leave blank)
Education: 1 2 3 4 5 6 7 8 (Circle highest grade completed)
Occupation:
(_) Farmer
(_) Mechanic
(_) Logger
(_) Hair Dresser
(_) Cashier
(_) Un-employed
Number of Weeks Unemployed: ________
Number of Welfare Checks Received: _________
Do you: (_)own or (_)rent yer mobile home? (Check appropriate box)
_____ 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
Weapons Owned:
(_)Deer Rifle (_)Sawed-Off Shotgun (_)Varmint Rifle
(_)Log Chain (_)Tire Iron (_)Chain Saw
(_)NBCS
Firearms you own and where you keep them:
_______________________________ truck
_______________________________ bedroom
_______________________________ bathroom
_______________________________ kitchen
_______________________________ shed
Model and year of yer pickup: ________________ 19__
Height of Truck: __________
Truck equipped with:
(_)Gun Rack (_)4-Wheel Drive (_)Confederate Flag
(_)Cassette Deck (_)Load of Wood (_)Hijacker Shocks
(_)Radar Detector (_)Aluminum Wheels (_)Dual CB Antennas
(_)Cap/Tonneu Cover (_)Air Horns/Dukes Horn (_)Diggers
(_)Mud Flaps (_)Big Dog (_)Spotlight
(_)Nerf Bars (_)Running Borads (_)black person Herder
(_)Cab Extender (_)Extra Lights #____ (_)Roll Bar
(_)Dual Chrome Stacks (_)Beer Cans #____ (_)Chrome Ladies
Number of empty beer cans on floorboard or in bed of pickup truck: _____
Stickers:
(_)Eat more Possum (_)Ford/Chevy Emblem
(_)Redman Chewing Tobacco (_)If you ain’t a cowboy you aint nuts
(_)Calvin Pissin' On Anything (_)Skoal Bandit
(_)John Deere (_)Caterpillar
Newspapers/magazines you subscribe to:
(_) Off Road
(_) TV Guide
(_) Field and Stream
(_) Dirt Wheels
(_) Rifle and Shotgun
Brand of chewing tobacco you prefer:
(_)Red-Man
(_)Skoal
(_)Copenhagen
How far is yer home from a paved road?
(_)1 mile
(_)2 miles
(_)Don’t know
Memberships that you have:
(_) NRA
(_) KKK
(_) NHRA
(_) American Legion
(_) VFW
(_) United Sons n’ Daughters of the Confederacy
Number of tractor pulls you've been to this month:
(_) <5
(_) 5-10
(_) 11-15
(_) Can't count
Beverage of choice:
(_) Genessee Beer
(_) Budwieser Beer
(_) Uncle Toms Moonshine (Non-Commercial)
(_) Coors Light
(_) Beast
(_) Gasoline
Brand of Jeans you prefer:
(_) Wranglers
(_) Other________________
Favorite Vocalist:
(_)Reba McEntire (_)Conway Twitty (_)Loretta Lynn (_)Hank Williams
(_)Shania Twain (_)Alan Jackson (_)Willie Nelson (_)George Strait
(_)Garth Brooks (_)Tim McGraw (_)LeAnn Rimes (_)Dixie Chicks
Favorite Recreation:
(_)Square Dancin’ (_)Huntin’ (_)Skinny Dippin’
(_)4-Wheelin’ (_)Drankin’ (_)Spittin’ Tabacky
(_)Honky Tonkin’ (_)Other__________________________
Number of Dogs: ____
Type:
(_)Beagle (_)Labrador (_)Rott (_)German Shephard
(_)Pit Bull (_)Doberman (_)Mutt
Cap Emblem:
(_)John Deere (_)Husqvarna (_)Budweiser (_)Skoal
(_)NAPA (_)Caterpillar (_)Ford Racing
Have you ever stayed sober for a whole weekend? ______
If so, why? _____________________________________________________
Can you count: Past 10 with your shoes on? _________
21 with your (or your old mans) fly up? __________
First Name:
_____________-Bob
_____________-Ann
Nickname: _______________________
CB Handle: ______________________
Address (RFD No.): ________________--____________
Sex: ____ M _____ F _____ Don't remember
Age: ________
Neck Shade (check one):
(_)Light Red
(_)Medium Red
(_)Dark Red
Number of teeth exposed in full grin:
Upper_____ Lower_____
Shoe Size: ____ Left ____ Right
Spouse’s Name: __________________________
Relationship with spouse:
(_) Sister or Brother
(_) Aunt or Uncle
(_) Mother or Father
(_) Son or Daughter
(_) Cousin
Number of children living in household: _____
Number that are yers: _____
Name of Son(s):
(_)Bubba
(_)Jim Bob
(_)LeeRoy
(_)J.D.
Name of Daughter(s):
(_)PammySue
(_)Billie Jo
(_)Bobbi Jo
(_)Daisy
Mother’s Name: _______________________
Father’s Name: _______________________ (If not sure, leave blank)
Education: 1 2 3 4 5 6 7 8 (Circle highest grade completed)
Occupation:
(_) Farmer
(_) Mechanic
(_) Logger
(_) Hair Dresser
(_) Cashier
(_) Un-employed
Number of Weeks Unemployed: ________
Number of Welfare Checks Received: _________
Do you: (_)own or (_)rent yer mobile home? (Check appropriate box)
_____ 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
Weapons Owned:
(_)Deer Rifle (_)Sawed-Off Shotgun (_)Varmint Rifle
(_)Log Chain (_)Tire Iron (_)Chain Saw
(_)NBCS
Firearms you own and where you keep them:
_______________________________ truck
_______________________________ bedroom
_______________________________ bathroom
_______________________________ kitchen
_______________________________ shed
Model and year of yer pickup: ________________ 19__
Height of Truck: __________
Truck equipped with:
(_)Gun Rack (_)4-Wheel Drive (_)Confederate Flag
(_)Cassette Deck (_)Load of Wood (_)Hijacker Shocks
(_)Radar Detector (_)Aluminum Wheels (_)Dual CB Antennas
(_)Cap/Tonneu Cover (_)Air Horns/Dukes Horn (_)Diggers
(_)Mud Flaps (_)Big Dog (_)Spotlight
(_)Nerf Bars (_)Running Borads (_)black person Herder
(_)Cab Extender (_)Extra Lights #____ (_)Roll Bar
(_)Dual Chrome Stacks (_)Beer Cans #____ (_)Chrome Ladies
Number of empty beer cans on floorboard or in bed of pickup truck: _____
Stickers:
(_)Eat more Possum (_)Ford/Chevy Emblem
(_)Redman Chewing Tobacco (_)If you ain’t a cowboy you aint nuts
(_)Calvin Pissin' On Anything (_)Skoal Bandit
(_)John Deere (_)Caterpillar
Newspapers/magazines you subscribe to:
(_) Off Road
(_) TV Guide
(_) Field and Stream
(_) Dirt Wheels
(_) Rifle and Shotgun
Brand of chewing tobacco you prefer:
(_)Red-Man
(_)Skoal
(_)Copenhagen
How far is yer home from a paved road?
(_)1 mile
(_)2 miles
(_)Don’t know
Memberships that you have:
(_) NRA
(_) KKK
(_) NHRA
(_) American Legion
(_) VFW
(_) United Sons n’ Daughters of the Confederacy
Number of tractor pulls you've been to this month:
(_) <5
(_) 5-10
(_) 11-15
(_) Can't count
Beverage of choice:
(_) Genessee Beer
(_) Budwieser Beer
(_) Uncle Toms Moonshine (Non-Commercial)
(_) Coors Light
(_) Beast
(_) Gasoline
Brand of Jeans you prefer:
(_) Wranglers
(_) Other________________
Favorite Vocalist:
(_)Reba McEntire (_)Conway Twitty (_)Loretta Lynn (_)Hank Williams
(_)Shania Twain (_)Alan Jackson (_)Willie Nelson (_)George Strait
(_)Garth Brooks (_)Tim McGraw (_)LeAnn Rimes (_)Dixie Chicks
Favorite Recreation:
(_)Square Dancin’ (_)Huntin’ (_)Skinny Dippin’
(_)4-Wheelin’ (_)Drankin’ (_)Spittin’ Tabacky
(_)Honky Tonkin’ (_)Other__________________________
Number of Dogs: ____
Type:
(_)Beagle (_)Labrador (_)Rott (_)German Shephard
(_)Pit Bull (_)Doberman (_)Mutt
Cap Emblem:
(_)John Deere (_)Husqvarna (_)Budweiser (_)Skoal
(_)NAPA (_)Caterpillar (_)Ford Racing
Have you ever stayed sober for a whole weekend? ______
If so, why? _____________________________________________________
Can you count: Past 10 with your shoes on? _________
21 with your (or your old mans) fly up? __________