>
>                  APPLICATION TO LIVE IN WYOMING
>                    (Californians Need Not Apply)
>
>   NAME:_________________________________________________________
>   NICKNAME:_____________________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:_____________________
>   NUMBER OF BEER CANS ON FLOOR OF PICKUP:_______________________
>   NUMBER OF BEER CANS IN BACK OF PICKUP:________________________
>   TRUCK EQUIPPED WITH:
>    () GUN RACK         () MUD FLAPS         () CAMPER TOP
>    () CASSETTE         () 4 WHEEL DRIVE     () AMERICAN FLAG
>    () FUZZ BUSTER      () LOAD OF WOOD      () DOG
>    () SPITTOON         () RUNNING BOARDS    () CB ANTENNAS
>    () SPOTLIGHT        () AIR HORN          () RUST
>
>   BUMPER STICKERS:
>    () I BRAKE FOR ROAD KILLS        () PROTECTED BY SMITH & WESSON
>    () I SURVIVED CATHOLIC SCHOOL    () SAVE A LOGGER--EAT AN OWL
>    () SKOAL                         () HONK IF YOU LOVE JESUS
>    () HONK IF YOU ARE HORNY         () BACK OFF!!!
>    () FBI                           () DON'T CALIFORNICATE WYOMING
>
>   FAVORITE BEVERAGE:
>    () RAINIER  () BUD LIGHT  () COORS  () BLACK VELVET  () JACK DANIELS
>
>   FAVORITE VOCALIST:
>    () ELVIS          () CONWAY TWITTY        () RANDY TRAVIS
>    () K.D. LANG      () GEORGE STRAIT        () SLIM WHITMAN
>
>    FAVORITE RECREATION:
>    () SQUARE DANCIN'            () GETTIN' DRUNK
>    () FISHIN' WITH LIVE BAIT    () DRINKIN'
>    () SWAPPIN' LIES             () SHOOTIN' "DEER CROSSING" SIGNS
>    () SHOOTIN'                  () CHEWIN'
>
>   FAVORITE WEAPON:
>    () TIRE IRON    () AX HANDLE    () LOG CHAIN    () TEETH
>
>   NUMBER OF HOUNDS:_____ TYPE: () BLUE HEELER () AUSSIE () MUTT
>   NUMBER OF HORSES:_____ TYPE: () NAG  () STOLEN  () SWAYBACK
>
>   CAP EMBLEM:
>    () JOHN DEERE         () STIHL        () CAT
>    () RED MAN            () BUDWEISER    () DUCKS UNLIMITED
>
>   MEMBERSHIPS:
>    () NRA    () PTL CLUB    () DUCKS UNLIMITED    () RMEF
>
>   HOW MANY CARS DO YOU KEEP ON BLOCKS IN YOUR FRONT YARD? ____
>   HOW MANY KITCHEN APPLIANCES DO YOU KEEP ON YOUR FRONT PORCH?___
>    (please count both working and non-working)
>   DO YOU WEAR MOSTLY POLYESTER PANTS WITH SNAGS  () YES   () NO
>   HOW HIGH ARE YOUR PANT LEGS CUT ABOVE YOUR BOOT TOPS? _____
>    (please estimate in inches only)
>   DO YOU OWN ANY SHOES? (not counting boots of course) () YES   () NO
>   ARE YOU MARRIED TO ANY OF THE FOLLOWING?
>    () SISTER      () COUSIN            () COUSIN'S BROTHER
>    () BROTHER     () COUSIN'S SISTER   () SOW
>   DOES YOUR SPOUSE WEIGH MORE THAN YOUR PICKUP TRUCK? ___
>   DO YOU 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?____
>   HAVE YOU EVER HAD MORE THAN ONE BATH IN A WEEK?____
>
>    __________________________________________
>     SIGNATURE (one X will do)
>
>    __________________________________________
>     ATTEST  (bartender/barmaid)