Last name: ________________

First name (check appropriate box):

   [_] 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

Age: ____ (if unsure, guess)

Sex: ____ M _____ F _____ Not sure

Shoe Size: ____ Left ____ Right

Occupation:

   [_] Farmer

   [_] Mechanic

   [_] Hair Dresser

   [_] Waitress

   [_] Unemployed

   [_] 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: _______________________

(If not sure, leave blank)

Education: 1 2 3 4 (Circle highest grade completed)

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

Firearms you own and where you keep them:

   ____ truck

   ____ kitchen

   ____ bedroom

   ____ bathroom

   ____ shed

Model of your pickup: _____________

Year pickup produced: 194____

Do you have a gun rack?

   [_] Yes [_] No; If no, please explain:_________________________

Newspapers/magazines you subscribe to:

   [_] The National Enquirer

   [_] The Globe

   [_] MAXIM

   [_] TV Guide

   [_] Soap World

   [_] Rifle and Shotgun

___ 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? ___

Color of teeth:

   [_] Yellow

   [_] Brownish-Yellow

   [_] Brown

   [_] Black

   [_] N/A

Brand of chewing tobacco you prefer:

   [_] Red-Man

How far is your home from a paved road?

   [_] 1 mile

   [_] 2 miles

   [_] don't know

Lol.  

thats great

I'm offended

Good stuff! ;D

Why all the redneck harassment?  Atleast I don't have to drive my John Deere to the laundry mat anymore..

Why all the redneck harassment?  Atleast I don't have to drive my John Deere to the laundry mat anymore..

;D  ;D

If my tires are flat... does it still count as a mobile home?

how the heck did you get that bug on your screen.....

how the heck did you get that bug on your screen.....

like this