DanB98TJ
03-25-2001, 07:02 PM
APPLICATION TO LIVE IN ARKANSAS:
1. Name:___________________________________
2. CB Handle:_______________________________
3. Address (RFD):___________________________
4. Daddy (if unknown, list three suspects):
5. Neck shade:
____Light red
____Medium red
____Dark red
____Other (explain)
6. Number of teeth exposed in full grin:
____Upper
____Lower
7. Make of pickup:___________________________
8. Size of tires (list each if different):____________
9. Hounds:
____Blue Tick
____Beagle
____Black/Tan
____Other
10. Length of right leg:________ Length of left leg:________
11. How many/make of cars in front yard:_________________________________
How many on blocks:
12. How many kitchen appliances on front porch:__________ Back porch:__________
13. When and where was your last "Elvis" sighting:______________________________
14. Do you wear mostly polyester pants with snags: ____Yes ____No
15. Do you own any shoes (not boots): ____Yes ____No
16. Are you married to any of the following:
____Sister
____Cousin
____Cousin's sister
____Aunt
____Other (explain)
17. Does your wife weigh more than your truck: ____Yes ____No
18. Can you sign your own name and always spell it right: ____Yes ____No
19. Have you ever had more than one bath in a week: ____Yes ____No
Explain:__________________________________________ _______
MEDICAL INFORMATION
Do you have at least two (2) of the following:
____B.O.
____Crabs
____Lice
____Bad breath
____Scabies
____Fleas
____Tattoos
____Crossed eyes
____Runny nose
____Green teeth
____Brown teeth
____Yellow teeth
____Any teeth
GENERAL INFORMATION
Can you count past ten with your shoes on: ____Yes ____No
Can you count past 21 with your fly up: ____Yes ____No
Favorite weapon:
____Tire iron
____Log chain
____Shotgun
____Pick
Favorite pasttime
____Drinkin'
____Coon huntin'
____Fishin'
____Other___________________________________
Truck equipped with:
____Gun rack
____Fuzzbuster
____8-track
____Rebel flag
____Roll bar
____CB radio
____Beer cans
____Squirrel tail
Your signature (an X will do):________________________________________
1. Name:___________________________________
2. CB Handle:_______________________________
3. Address (RFD):___________________________
4. Daddy (if unknown, list three suspects):
5. Neck shade:
____Light red
____Medium red
____Dark red
____Other (explain)
6. Number of teeth exposed in full grin:
____Upper
____Lower
7. Make of pickup:___________________________
8. Size of tires (list each if different):____________
9. Hounds:
____Blue Tick
____Beagle
____Black/Tan
____Other
10. Length of right leg:________ Length of left leg:________
11. How many/make of cars in front yard:_________________________________
How many on blocks:
12. How many kitchen appliances on front porch:__________ Back porch:__________
13. When and where was your last "Elvis" sighting:______________________________
14. Do you wear mostly polyester pants with snags: ____Yes ____No
15. Do you own any shoes (not boots): ____Yes ____No
16. Are you married to any of the following:
____Sister
____Cousin
____Cousin's sister
____Aunt
____Other (explain)
17. Does your wife weigh more than your truck: ____Yes ____No
18. Can you sign your own name and always spell it right: ____Yes ____No
19. Have you ever had more than one bath in a week: ____Yes ____No
Explain:__________________________________________ _______
MEDICAL INFORMATION
Do you have at least two (2) of the following:
____B.O.
____Crabs
____Lice
____Bad breath
____Scabies
____Fleas
____Tattoos
____Crossed eyes
____Runny nose
____Green teeth
____Brown teeth
____Yellow teeth
____Any teeth
GENERAL INFORMATION
Can you count past ten with your shoes on: ____Yes ____No
Can you count past 21 with your fly up: ____Yes ____No
Favorite weapon:
____Tire iron
____Log chain
____Shotgun
____Pick
Favorite pasttime
____Drinkin'
____Coon huntin'
____Fishin'
____Other___________________________________
Truck equipped with:
____Gun rack
____Fuzzbuster
____8-track
____Rebel flag
____Roll bar
____CB radio
____Beer cans
____Squirrel tail
Your signature (an X will do):________________________________________