Republican party membership application.

REPUBLICAN PARTY MEMBERSHIP APPLICATION
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Name: ________________
(_) Billy-Bob
(_) Billy-Joe
(_) Billy-Ray
(_) Billy-Sue
(_) Billy-Mae
(_) Billy-Polly
(Check appropriate box)

Age: ____

Sex: ____ M _____ F _____ N/A

Shoe Size: ____ Left ____ Right

Occupation:
(_) Farmer
(_) Mechanic/ Taxi Driver
(_) Fish and Chip Shop Owner
(_) Skinhead

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

Firearms you own and where you keep them:

____ truck
____ bedroom
____ bathroom
____ kitchen
____ shed

Model and year of your pickup: _____________ 194_

Do you have a gun rack? (_) Yes (_) No; please explain:
Newspapers/magazines you subscribe to:

(_) The Truth (_)Exposure
(_) 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

Color of teeth:
(_)Yellow (_)Brownish-Yellow
(_)Brown (_)Black (_)N/A

Brand of chewing tobacco you prefer:
(_)Red-Man
(_)Skoal

How far is your home from a paved road?
(_)1 mile
(_)2 miles
(_)don't know