<BGSOUND SRC="beverlyh.mid" LOOP=INFINITE>
Plez compleet this paper,best ya can.

Last name:______________________

First name:
[_]Billy Bob              [_]Billy Joe               [_]Bobby Jo              [_]Bobby Sue
[_]Billy Ray              [_]Bobby Ann
[_]Billy Sue              [_]Bobby Ellen
[_]Billy Mae              [_]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: 1234(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
still slow learnin?[_]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 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
[_]dont know
           
Redneck Driver's License Application
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