Nickname CB Handle
Daddy (if unknown, attach list of three suspects)
Medium Red Dark
Number of Teeth Exposed in Full Grin
Make of Pickup Owned Size of Tires
Number of Empty Beer Cans on Floor of Pickup
Truck Equipped With:
Load of Wood
Wave If You're Horny
Almost Heaven - Bucksport
Where the Hell is Orrington?
Honk if You Love Jesus
Wood Is Wonderful
All you Ecological Bastards can Freeze to Death in the Dark!
40 Isn't Old, If You're A Tree
Redman Chewing Tobacco
I Ain't No Flatlander!
Save the Black Fly
Bangor Tap Water
Bert & I
Wicked Good Band
Blue Grass Festival
Fish'n with LIVE BAIT
Number of Hounds Type: Blue Tick Beagle Black & Tan
Fish & Game Club
Length of Right Leg
Length of Left Leg
How many cars do you have up on blocks in your front yard?
How many kitchen appliances will you keep on your front porch?
(Working or Not)
When was your last Elvis sighting?
Do you wear mostly polyester pants with snags?
Do you own any shoes (not counting boots), if so how many?
Are you married to any of the following?
Sister Cousin Cousin's Sister Sow
Does your wife weigh more than your pickup?
Can you sign your name and spell it right every time?
Have you ever stayed sober for a whole weekend?
Can you count:
Past 10 with your shoes on? Past 21 with your fly up?
Have you EVER had more than one bath in a week? Month?
Medical Information (Do you have at least 2 of the following?):
Your Signature (one "X" will do)