Appendix V

                    APPLICATION TO LIVE IN IDAHO
                    Californians need not apply


Name:__________________________________________________________________
Nick Name:_______________________________CB Handle:____________________
Address:_______________________________________________________________
Mother:________________________________________________________________
Father: (If unknown, list three most likely suspects)__________________

Neck Shade: ( ) Light Red	( ) Medium Red	( ) Dark Red
Number of teeth in full grin:_____upper; _____lower
Make of pickup:_______________ Size of tires:__________

Truck equipped with: 
( ) Gun Rack		( ) Mud Flaps		( ) Camper Top
( ) 8-Track		( ) 4-Wheel Drive	( ) American Flag
( ) Fuzz Buster		( ) Load of Wood	( ) Hijack Stocks
( ) Spittoon		( ) Running Boards	( ) CB Antennas
( ) Spot Light		( ) Air Horn		( ) Rust

Bumper Stickers:
( ) I brake for road kill	           ( ) Skoal chewing tobacco
( ) Where the hell is Athol?		   ( ) I'm a bullshipper
( ) I snatch kisses and vice versa	   ( ) Save the deer
( ) Protected by Smith & Wesson            ( ) Honk if you love Jesus
( ) I survived Catholic school		   ( ) Honk if you're horny
( ) Open season on friends of animals

Favorite Beverage:
( ) Coors               ( ) Bud                 ( ) Black Velvet
( ) Coors Extra Gold    ( ) Bud Light           ( ) Jack Daniels

Favorite Vocalist:
( ) Elvis        	( ) Conway Twitty    	( ) Randy Travis
( ) K.D. Lang     	( ) George Strait     	( ) Slim Whitman

Favorite Recreation:
( ) Square Dancin'	( ) Dinkin'		( ) Shootin'
( ) Gettin' Drunk	( ) Swappin' Lies	( ) Fishin' With Live Bait
( ) Shooting "Deer Crossing Signs"

Favorite Weapon:
( ) Tire Iron     ( ) Ax Handle     ( ) Log Chain     ( ) Teeth

Number of Hounds:_____
Type: ( ) Blue Heeler     ( ) Aussie     ( ) Mutt

Number of Horses:_____
Type: ( ) Nag     ( ) Stolen     ( ) Sway-back

Cap Emblem:
( ) John Deer	( ) Potato Service	( ) STIHL	( ) CAT
( ) Redman	( ) Budweiser		( ) Coors	( ) Harrison Farms
Memberships:
( ) NRA			( ) PTL Club		( ) Ducks Unlimited
( ) VFW			( ) Republican Party

How many cars do you keep on blocks in your front yard?_____
How many appliances do you keep on your front porch?_____
	(Please count working and non-working)
Do you wear mostly polyester pants with snags? ( ) Yes     ( ) No
Do you own any shoes? (Not counting boots) ( ) Yes     ( ) No
How many?_____
When was your last Elvis sighting? Month_____ Day_____ Year_____

Are you married to any of the following? (Check all the apply)
( ) Sister	( ) Cousin		( ) Cousin's Sister
( ) Brother	( ) Cousin's Brother	( ) Boar	( ) Sow

Does your wife weigh more than your truck? ( ) Yes    ( ) No
Do you weigh more than your truck? ( ) Yes     ( ) No
Can you sign your name, spelling it right every time? ( ) Yes     ( ) No
Have you ever stayed sober for a whole weekend? ( ) Yes     ( ) No
Have you ever had more than one bath in a week? ( ) Yes     ( ) No




______________________________		____________________
     ( One "X" will do)				     Date



______________________________		____________________
     (Barmaid/Bartender)				     Date

[ Table of Contents | Back | Next Page | Top ]

This page is written and maintained by Steve Krause. © Steve Krause. All rights reserved. For more information, email hyperion47@excite.com.

This page was last updated on June 27, 1998.