--part1_57.381c3fa.260f99b5_boundary Content-Type: text/plain; charset="US-ASCII" Content-Transfer-Encoding: 7bit << Redneck Census Form * Editor's note: This would be offensive to rednecks ...if they could read! (I take no credit for this one.) Last name: ________________ First name: (Check appropriate box) [_] Billy-Bob [_] Bobby-Sue [_] Billy-Joe [_] Bobby-Jo [_] Billy-Ray [_] Bobby-Ann [_] Billy-Sue [_] Bobby-Lee [_] Billy-Mae [_] Bobby-Ellen [_] Billy-Jack [_] Bobby-Beth Ann Sue Age: ____ (if unsure, guess) Sex: ____ M _____ F _____ Not sure 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: __________________________ Relationship with spouse: [_] Sister [_] Aunt [_] Brother [_] Uncle [_] Mother [_] Son [_] Father [_] Daughter [_] Cousin [_] Pet Mother's Name: _______________________ Father's Name:_____________________(If not sure, leave blank) Education: 1 2 3 4 (Circle highest grade completed) Do you [_] own or [_] rent your mobile home? (Check appropriate box) Vehicles you own and where you keep them: ___ Total number of vehicles you own ___ Number of vehicles that still start ___ Number of vehicles in front yard ___ Number of vehicles in back yard ___ Number of vehicles on cement blocks Firearms you own and where you keep them: ____ truck ____ kitchen ____ bedroom ____ bathroom ____ shed 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 [_] The Globe [_] TV Guide [_] Soap Opera Digest [_] Rifle and Shotgun ___ 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? __________ Color of teeth: [_] Green [_] Brownish-Yellow [_] Brown [_] Black [_] N/A Brand of chewing tobacco you prefer: [_] Red-Man How far is your home from a paved road? [_] 1 mile [_] 2 miles [_] don't know >> --part1_57.381c3fa.260f99b5_boundary Content-Type: message/rfc822 Content-Disposition: inline Return-Path: <[email protected]> Received: from rly-yh03.mx.aol.com (rly-yh03.mail.aol.com [172.18.147.35]) by air-yh03.mail.aol.com (v70.20) with ESMTP; Sun, 26 Mar 2000 11:21:24 -0500 Received: from bl-11.rootsweb.com (bl-11.rootsweb.com [209.85.6.27]) by rly-yh03.mx.aol.com (v70.21) with ESMTP; Sun, 26 Mar 2000 11:20:55 -0500 Received: (from [email protected]) by bl-11.rootsweb.com (8.9.3/8.9.3) id IAA28362; Sun, 26 Mar 2000 08:20:24 -0800 (PST) Resent-Date: Sun, 26 Mar 2000 08:20:24 -0800 (PST) X-Original-Sender: [email protected] Sun Mar 26 08:20:22 2000 Message-ID: <[email protected]> Date: Sun, 26 Mar 2000 11:28:21 -0500 From: Jean Z Koehler <[email protected]> X-Mailer: Mozilla 4.7 [en] (Win95; U) X-Accept-Language: en MIME-Version: 1.0 Old-To: Dorothy <[email protected]>, Laura <[email protected]>, census list <[email protected]> Content-Type: text/plain; charset=us-ascii Content-Transfer-Encoding: 7bit Subject: [CENSUS] [Fwd: Redneck Census Form] Resent-Message-ID: <[email protected]> To: [email protected] Resent-From: [email protected] X-Mailing-List: <[email protected]> archive/latest/4524 X-Loop: [email protected] Precedence: list Resent-Sender: [email protected] >From another list: Redneck Census Form * Editor's note: This would be offensive to rednecks ...if they could read! (I take no credit for this one.) Last name: ________________ First name: (Check appropriate box) [_] Billy-Bob [_] Bobby-Sue [_] Billy-Joe [_] Bobby-Jo [_] Billy-Ray [_] Bobby-Ann [_] Billy-Sue [_] Bobby-Lee [_] Billy-Mae [_] Bobby-Ellen [_] Billy-Jack [_] Bobby-Beth Ann Sue Age: ____ (if unsure, guess) Sex: ____ M _____ F _____ Not sure 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: __________________________ Relationship with spouse: [_] Sister [_] Aunt [_] Brother [_] Uncle [_] Mother [_] Son [_] Father [_] Daughter [_] Cousin [_] Pet Mother's Name: _______________________ Father's Name:_____________________(If not sure, leave blank) Education: 1 2 3 4 (Circle highest grade completed) Do you [_] own or [_] rent your mobile home? (Check appropriate box) Vehicles you own and where you keep them: ___ Total number of vehicles you own ___ Number of vehicles that still start ___ Number of vehicles in front yard ___ Number of vehicles in back yard ___ Number of vehicles on cement blocks Firearms you own and where you keep them: ____ truck ____ kitchen ____ bedroom ____ bathroom ____ shed 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 [_] The Globe [_] TV Guide [_] Soap Opera Digest [_] Rifle and Shotgun ___ 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? __________ Color of teeth: [_] Green [_] Brownish-Yellow [_] Brown [_] Black [_] N/A Brand of chewing tobacco you prefer: [_] Red-Man How far is your home from a paved road? [_] 1 mile [_] 2 miles [_] don't know --part1_57.381c3fa.260f99b5_boundary--