Plez compleet this paper, best ya can. Last name: ________________ First name:[_] Billy-Bob [_] Billy-Joe [_] Billy-Ray [_] Billy-Jack[_] Bubba Age: ____ (if unsure, guess) Sex: [_]M [_]F [_]None Shoe Size: ____ Left ____ Right Occupation:[_] Farmer [_] Mechanic[_] Janitor [_] Still Operator[_] Un-employed Spouse's Name: ______________________________2nd Spouse's Name: __________________________3rd Spouse's Name: __________________________Lover's Name: _______________________________2nd Lover's Name: ____________________________ Relationship with spouse:[_] Sister[_] Aunt[_] Mother [_] Cousin [_] Daughter[_] Pet Number of children living in household: ___Number of children living in shed: ___Number of children that are yours: ___ Mama's Name: ____________________Daddy's Name: ____________________ Education: 1 2 3 4 (Circle highest grade completed)If you obtained a higher education what was yourmajor?[_] 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 lerrnin ? [_] Yes [_] No) Firearms you own and where you keep them:____ truck ____ kitchen____ bedroom ____ bathroom/outhouse____ shed ____ pawnshop Model and year of your pickup: 194_ 195_ 196_ 197_ Do you have a gun rack?[_] Yes [_] No; If no, please explain: Newspapers/magazines you subscribe to:[_] The National Enquirer [_] The Globe[_] TV Guide [_] Soap Opera Digest[_] Guns and Ammo [_] 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 or snuff you prefer:[_] Red-Man [_] Skoal[_] Levi-Garrett [_] Copenhagen [_] Days Work [_] Garrett Sweet Snuff[_] Cannon Ball How far is your home from a paved road?[_] 1 mile[_] 2 miles[_] don't know

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