Pleeze compleet this paper, best ya can.   Last name: ______________________________   First name: [_] Billy-Bob [_] Billy-Joe [_] Billy-Ray [_] Billy-Sue [_] Billy-Mae [_] Billy-Jack [_] Badd-Teddy Bob [_] Bobby-Sue [_] Bobby-Jo [_] Bobby-Ann [_] Bobby-Lee [_] Bobby-Ellen [_] Bobby-Beth   Age: ____ (if unsure, guess) Sex: [_]M  [_]F  [_]None Shoe Size: ____ Left____ Right Occupation: [_] Farmer [_] Hair Dresser [_] Un-employed [_] Mechanic [_] Waitress [_] Dirty Politician   Spouse's Name: ______________________________ 2nd Spouse's Name: __________________________ 3rd Spouse's Name: __________________________ Lover's Name: _______________________________ 2nd Lover's Name: ___________________________   Relationship with spouse: [_] Sister [_] Brother [_] Mother [_] Father [_] Cousin [_] Aunt [_] Uncle [_] Son [_] Daughter [_] Pet   Number of children living in household: ___ Number of children living in shed: ___ Number of children that are yours: ___   Mother's Name: _______________________ (Relation__________) Father's Name: _______________________ (Relation__________)   Education: 1 2 3 4 (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 are still slow lerrnin? [_] Yes [_] No   Firearms you own and where you keep them: ____ truck ____ bedroom ____ shed ____ kitchen ____ bathroom/outhouse ____ pawnshop   Model and year of your pickup: _____________ 194_   Do you have a gun rack? [_] Yes [_] No If no, please explain:   Newspapers/magazines you subscribe to: [_] The National Enquirer [_] TV Guide [_] Rifle and Shotgun [_] The Globe [_] Soap Opera Digest [_] 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   ___ Do you hunt Bear? If so, please do not explain   How often do you bathe: [_] Weekly [_] Monthly [_] Not Applicable   How many teeth in YOUR mouth?___   Color of teeth: [_] Yellow [_] Brown [_] Brownish-Yellow [_] 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 [_] don't know   Distance between mobile home and Bubba's House of Beer?   How many times has you received a DWI this year?____

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