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Re: jimmym4 post# 175029

Sunday, 08/14/2011 7:40:24 PM

Sunday, August 14, 2011 7:40:24 PM

Post# of 190543
APPLICATION TO LIVE IN ARKANSAS

Name:_______________________________________________________________
Nickname:___________________________ CB Handle:____________________

Address (RFD):______________________________________________________

Daddy (if unknown afix list of 3 suspects):_________________________

Neck colour:____ [] Light Red [] Medium Red [] Dark Red [] Other

Number of teeth exposed in full grin:_______ Upper:_____ Lower:____

Make of Pickup:_________________________ Tire Size:_________________

Hounds:_____________ Type: [] Blue Tick [] Beagle [] Black and Tan

Length of right leg:__________ Length of left leg:__________
other:_________

How many cars/makes in front yard? _________________________________
How many on blocks? ________________________________________________

How many kitchen appliances on front porch? ________________________
back porch? _________________________

When and where was your last "Elvis" sighting? _____________________
____________________________________________________________________

Do you wear mostly polyester pants with snags? [] Yes [] No

Are you married to any of the following? (circle all that apply)

-Sister -Cousin -Cousin's Sister

-Other, Explain:____________________________________________________

Have you EVER had more than one bath a week?
[] No [] Yes, Explain:___________________________________________


*Medical Information*

Do you have at least two (2) of the following: [] B.O. [] Lice
[] Crabs [] Bad Breath [] Hoof in Mouth [] Scabs [] Fleas
[] Infected Tatoos [] Crossed eyes [] Runny Nose [] Green Teeth
[] Yellow Teeth [] Any Teeth [] Speach Impediment

*General Information*

Can you count past 20 without stripping? [] yes [] no [] never tried

Favorite Weapon: [] Tire Iron [] Pick Handle
[] Log Chain [] Shotgun

Favorite Pastime: [] Drinkin' [] Co on Huntin'
[] Fishin' [] Fuedin'[] Other

Truck equipped with: [] Gun Rack [] Fuzzbuster [] 8-Track
[] Rebel Flag [] Roll Bar [] C.B. Radio
[] Beer Cans [] Squirrel Tail [] Bull Horns

Favorite Vocalist: [] Elvis (the young Elvis)
[] Elvis (the old Elvis)
[] Elvis (dead)

Cap Emblems: [] John Deere [] CAT [] SKOAL [] Budweiser
[] Bud Dry [] Jack Daniels [] Teamsters local

Merberships: [] NRA [] VFW [] KKK [] 700 Club
[] B.P.O.E. [] Sine-aid Society

Do you vote? [] Yes [] No [] What's that?

Have you ever been in jail? [] Yes [] No [] Born there

Your Signature (one X will do):____________________________Date:_____


#board-2412


"We are what we repeatedly do. Excellence, therefore, is not an act, but a habit." - Aristotle

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