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From my dad. Hey, I can laugh at myself. 
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Name:____________________
CB Handle:_________________
Mobile Home Color:
Two-tone brown and white___
Two-tone pink and white: ___
Faded: ___
Color of neck:
Light red___
Medium red ___
Dark red___
Model of pickup truck: _________________
Size of tires on pickup truck: ____________
Number of teeth exposed (with full grin): ___
Upper___
Lower:___
Length of right leg: ___
Length of left leg: ___
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Note: to be accepted you must be honest and must be able to check at least 20 items from the questions below. You may check more than one item per question.
1. I am in love with:
A. My brother's wife ___
B. My mother-in-law___
2. My favorite kind of music is:
A. Country___
B. Western___
3. My favorite meal is:
A. Head cheese and Old Style___
B. Venison sausage and Old Style.___
C. Cheese curds and Old Style___
D. Seven course dinner (brat and six-pack of Old Style) ___
4. My weapon of choice is:
A. 12-gauge shotgun___
B. Ice Auger___
C. Forehead___
D. Tire iron___
E. Chain saw___
F. Beer bottle___
5. My primary auto is:
A. '67 Ford Galaxy___
B. '67 Ford Galaxy with transmission___
C. '67 Ford Galaxy with Chevy transmission___
D. '67 Ford Galaxy with Chevy Transmission and '72 Buick engine___
6. I usually greet people by saying:
A. "Ya hey dere."___
B. "Dem Packers is playing like a buncha old women."___
C. "Dey oughtta take da whole buncha dem Madison liberals and just line 'em up and shoot 'em!"___
7. I can count to:
A. Ten (10)___
B. Twenty (20) (With shoes off)___
8. Pick one:
Someone is helping me read this.___
Someone is reading this to me.___
9. My favorite reading is:
A. Fishing facts___
B. Guns & Ammo___
C. Beer bottle labels___
D. Tractor manuals___
10. Things in my front yard:
Car on blocks___
Transmissions___
Various kitchen appliances___
Deer hanging from tree (in season)___
Deer hanging from tree (out of season)___
11. My favorite female in the world is:
A. My mom___
B. My sister___
C. Both, because I think my sister is my mom___
12. I mostly wear:
A. Polyester leisure suits___
B. Packers belt buckle___
C. Packers hat___
13. The most memorable event I ever attended :
A. Minocqua Moose Calling Competition___
B. OMSGA Outboard Motor Repair Finals___
C. Lake Tomahawk Crew Cut Championships___
D. Carp Queen Beauty Pageant___
E. Spread Eagle Proctologist's Convention___
14. My favorite entertainment is:
A. Deer hunting while drinking___
B. Watching Green Acres while drinking___
C. Snowmobiling while drinking___
D. Ice fishing while drinking___
Signed by: _____________________________ Date: ___________________
-------------------------------------------------------------------------------------------------------------
Name:____________________
CB Handle:_________________
Mobile Home Color:
Two-tone brown and white___
Two-tone pink and white: ___
Faded: ___
Color of neck:
Light red___
Medium red ___
Dark red___
Model of pickup truck: _________________
Size of tires on pickup truck: ____________
Number of teeth exposed (with full grin): ___
Upper___
Lower:___
Length of right leg: ___
Length of left leg: ___
------------------------------------------------------------------------------------------------------------------
Note: to be accepted you must be honest and must be able to check at least 20 items from the questions below. You may check more than one item per question.
1. I am in love with:
A. My brother's wife ___
B. My mother-in-law___
2. My favorite kind of music is:
A. Country___
B. Western___
3. My favorite meal is:
A. Head cheese and Old Style___
B. Venison sausage and Old Style.___
C. Cheese curds and Old Style___
D. Seven course dinner (brat and six-pack of Old Style) ___
4. My weapon of choice is:
A. 12-gauge shotgun___
B. Ice Auger___
C. Forehead___
D. Tire iron___
E. Chain saw___
F. Beer bottle___
5. My primary auto is:
A. '67 Ford Galaxy___
B. '67 Ford Galaxy with transmission___
C. '67 Ford Galaxy with Chevy transmission___
D. '67 Ford Galaxy with Chevy Transmission and '72 Buick engine___
6. I usually greet people by saying:
A. "Ya hey dere."___
B. "Dem Packers is playing like a buncha old women."___
C. "Dey oughtta take da whole buncha dem Madison liberals and just line 'em up and shoot 'em!"___
7. I can count to:
A. Ten (10)___
B. Twenty (20) (With shoes off)___
8. Pick one:
Someone is helping me read this.___
Someone is reading this to me.___
9. My favorite reading is:
A. Fishing facts___
B. Guns & Ammo___
C. Beer bottle labels___
D. Tractor manuals___
10. Things in my front yard:
Car on blocks___
Transmissions___
Various kitchen appliances___
Deer hanging from tree (in season)___
Deer hanging from tree (out of season)___
11. My favorite female in the world is:
A. My mom___
B. My sister___
C. Both, because I think my sister is my mom___
12. I mostly wear:
A. Polyester leisure suits___
B. Packers belt buckle___
C. Packers hat___
13. The most memorable event I ever attended :
A. Minocqua Moose Calling Competition___
B. OMSGA Outboard Motor Repair Finals___
C. Lake Tomahawk Crew Cut Championships___
D. Carp Queen Beauty Pageant___
E. Spread Eagle Proctologist's Convention___
14. My favorite entertainment is:
A. Deer hunting while drinking___
B. Watching Green Acres while drinking___
C. Snowmobiling while drinking___
D. Ice fishing while drinking___
Signed by: _____________________________ Date: ___________________
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