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Application to live in Mississippi
Submitted By: Anonymous
Article Date: 03/19/1999
URL: http://www.goofball.com/jokes/regional/990319_mississippi_application

APPLICATION TO LIVE IN MISSISSIPPI

Name: ________________________ C.B. handle: ___________________

Address: (r.f.d. - h.c.r.)
 ____________________________________

Daddy (if unknown, attach list of 3 suspects): ________________

Mama: _________________________________________________________

Neck shade: ( ) light red ( ) medium red ( ) dark red

Number of teeth exposed in full grin: _______

upper: _______ lower: ______

Make of pickup owned: ___________ size of tires: _____________

Number of empty beer cans on floor of pickup: ________________

Truck equipped with:

     ( ) gun rack ( ) mud flaps ( ) camper top ( ) air horn

     ( ) 8
 track ( ) 4 wheel drive ( ) American flag ( ) rust

     ( ) fuzz buster ( ) load of wood ( ) hijack shocks ( ) mud 
tires

     ( ) spittoon ( ) running boards ( ) C.B. antennas ( ) roll 
bar

Bumper stickers:

     ( ) Honk if you're horny ( ) Honk if you love Jesus

     ( ) Almost heaven, bucksport ( ) Snatch kisses and vice 
Versa

     ( ) Old fart ( ) I love hiney wine

     ( ) Shit happens ( ) Redman chewing tobacco

     ( ) Wood is wonderful ( ) Save the black fly

     ( )
 Don't like my driving? Call 1-800-eat-shit

     ( ) All you ecological bastards can freeze in the dark

Favorite beverage:

     ( ) Busch ( ) Stag ( ) Old Style ( ) Falstaff

     ( ) Buckhorn ( ) Red white & blue ( ) Budweiser

     ( ) Old Milwaukee

Favorite vocalist:

     ( ) Elvis ( ) Conway Twitty ( ) Loretta Lynn

     ( ) Slim Whitman ( ) Johnny Cash ( ) Willie Nelson

     ( ) Dick Curtis ( ) George JJones ( ) Yourself in the 
shower

Favorite recreation:

     ( ) square
 dancing ( ) fishing with the boys

     ( ) drinking ( ) blue grass fest ( ) fishing alone

     ( ) race track ( ) floating ( ) deer hunting

     ( ) apple butter fest ( ) three wheeling ( ) rodeo

How many cars do you have up on blocks in your front yard? 
___________

How many kitchen appliances are on your front porch? ____

how many work? __

Number of hounds: _________ type:

    ( ) blue tick  ( ) beagle ( ) black/tan

Memberships:

     ( ) NRA ( ) VFW ( ) PTL club ( ) Ducks
 unlimited

     ( ) Fish & Game club ( ) KKK ( ) Wacky Warriors ( ) Elks

Baseball Cap Emblem:

     ( ) John Deere ( ) Ford ( ) Skoal ( ) Sat

     ( ) Budweiser ( ) Chevy ( ) Bass Pro ( ) Eat Me

Are you married to any of the following? (check all that apply)

     ( ) sister ( ) cousin ( ) cousin's sister ( ) sow

Does your wife weight more than your pickup? ( ) yes ( ) no

Do you wear mostly polyester pants with snags? ( ) yes ( ) no

Do you own any shoes (not counting boots)?

If so,
 how many? _____________

Length of right leg: _______________

length of left leg: ________________

Can you sign your name and spell it correctly every time? ( ) 
yes ( ) no

Have you ever had more than one bath a week? ( ) yes ( ) no

Are you a registered voter? ________

do you know where to do it? _______

Do you wonder if you need to file a tax return? ( ) yes ( ) no

Do you worry that your house will blow away in high winds? ( ) 
yes ( ) no

When was your last UFO sighting?
 ___________

elvis sighting? __________

Medical information (do you have at least two of the 
following?):

     ( ) b.o. ( ) crabs ( ) head lice ( ) bad breath

     ( ) scabies ( ) yellow teeth ( ) green teeth ( ) fleas

     ( ) runny nose ( ) tattoos ( ) crossed eyes ( ) stutter

Signature (one `x' will do) ____________ dated: ___________