Skip to main content

YOUR A DICK cheney

West Virginia State Residency Application
Name: ___dick cheney_____________
(first) (_d) Billy-Bob
(_i) Billy-Joe
(c_) Billy-Ray
(k_) Billy-Sue
(_) Billy-Mae
(_c) Billy-Jack
(Check appropriate box)
Age: ____
Sex: ____ M _____ F _____ N/A
Shoe Size: ____ Left ____ Right
CB Handle: _____________________
(_)Coal Miner
Spouse's Name: __________________________
Relationship with spouse:
(_) Sister
(_) Brother
(_) Aunt
(_) Uncle
(_) Cousin
(_) Mother
(_) Father
(_) Son
(_) Daughter
(_) Pet
Number of children living in household: ___
Number that are yours: ___
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)
___ 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
___ Number of refrigerators on front porch
Firearms you own and where you keep them:
____ truck
____ bedroom
____ bathroom
____ kitchen
____ shed
Model and year of your pickup: _____________ 194__
Number of empty beer cans on floorboard or in bed of
pickup: _________
Newspapers/magazines you subscribe to:
(_)The National Enquirer
(_)The Globe
(_)TV Guide
(_)Soap Opera Digest
(_)Gun World
___ 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:
(_)Not Applicable
Color of teeth:
(_)No teeth
Brand of chewing tobacco you prefer:
How far is your home from a paved road?
(_)1 mile
(_)2 miles
(_)don't know
(_)can't get there from here
___ Eat more Possum
___ My other car is a piece of junk too
___ Honk if you love Jesus
___ Barak Obama is no Jfk
___ Red-man Chewing Tobacco
Favorite Recreation: Check all that apply:
___ Square Dancin'
___ Possum Huntin'
___ Skinny Dippin'
___ Craw Daddin'
___ Gospel Singin'
___ 4-Wheelin'
___ Drankin'
___ Spittin' Backy ___ Bill Chip Trowin'
___ Honky Tonkin'
___ Noodlin'
# of Dogs: ___ Type: ___ Blue Tick ___ Beagle
___ Black & Tan ___ Bird Dawg
Cap Emblem: ___ John Deere ___ McCulloch Chain Saws
___ Budweiser ___ Vo-Tech__ Nascar
___ Skoal ___ Coors
___ NAPA ___ Smile if you're Not Wearing Underwear_ FARK me


Popular posts from this blog

Nui social review

In marketing terms ,this has been a long journey. My vision is for folks to enjoy a rewarding membership.Business has an interest in real time info... Here is a link to join us now.

NUI review

We are members-) This is a Social Membership Network. This is not your traditional network marketing company of sales.Not saying network marketing can not work.. The Nui Social company and platform is designed for people to make some money and or rewards, just doing some daily stuff, that we do anyway. Stuff like traveling, shopping online, or getting some product or service we use like a cell phone plan, insurance plan,. Nui has no forced auto-ship like tradional MLM . In our book this is great. This is a built and designed of the platform as a Social Membership Network. The platform lets us p…

NUI | Rank and Share | redemption center