Residency Permit Application

1. Which State do you want to stay in ?
    

1. Write your name in this box (or tick an option) :
    
     Billy-Bob
     Billy-Joe
     Billy-Ray
     Billy-Sue
     Billy-Mae
     Billy-Jack

1. Write your age in this one :
    

1. What sex are you ?
     Male
     Female
     Other

1. What is your occupation ?
     Farmer
     Mechanic
     Asbestos Worker
     Hairdresser
     Unemployed

1. Write your spouse's name in this box :
    

1. Relationship to spouse ?
     Sister
     Brother
     Cousin
     Aunt
     Uncle
     Father
     Mother
     Son
     Daughter

1. Number of children living in the household :
    

1. Number that are yours :
    

1. Your Mother's name :
    

1. Your Father's name (if not sure, leave blank :
    

1. Education (select highest Grade completed) :
     1
     2
     3
     4

1. Do you own or rent your mobile home ?
     Own
     Rent

1. What model and year is your pickup truck ?
    

1. Total number of vehicles you own :
    

1. Number of vehicles which still crank ?
    

1. Number of vehicles in front yard ?
    

1. Number of vehicles in back yard ?
    

1. Number of vehicles on cement blocks ?
    

1. Newspaper / Magazines you subscribe to :
     The National Enquirer
     The Globe
     TV Guide
     Soap Opera Digest

1. Total number of firearms you own :
    

1. Where are these firearms kept ?
     Truck
     Bedroom
     Bathroom
     Kitchen
     Shed

1. Color of teeth :
     Yellow
     Brownish-Yellow
     Brown
     Black
     Not Applicable

1. Brand of tobacco you prefer :
     Red-Man
     Skoal
     Copenhagen
     All of these

1. How far is your home from a paved road ?
     1 mile
     2 miles
     5 miles
     Don't Know

1. Organizations that you belong (check all that are applicable) :
     NRA
     NHRA

1. Number of tractor pulls you've been to this month :
     5-10
     11-15
     Can't count

1. Beverage of choice :
     Night Train
     Blind Dog Bourbon
     Cousin Cletus' Moonshine
     (Non-Commercial) Gasoline

1. Number of Skoal Belt Buckles You Own ?
    

1. Brand of Jeans that you prefer :
     Wranglers

1. Do you play the banjo ?
     Yes