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PART A - GENERAL INFORMATION
Name: ___________________________________ (son)
Home Address: _________________________________
Cabin Address: _________________________________
CB Handle: _________________________

Religion: __ Lutheran   ___ Catholic

Income: __ We do okay   ___ We're blessed   ___ None of your beeswax

Neck Shade: __ Light Red   ___ Medium Red   ___ Dark Red

Mobile Home Color:
  __Two-Tone, Brown and White
  __Two-Tone, Pink and White
  __ Faded Green and Gold

Model of Pickup Truck: ____________________
Size of Tires: __________

Length of Right Leg: __________
Length of Left Leg: __________

PART B - COMPLETION
(To be accepted, you must be able to check at least 15 items from the questions below. Note that good Packer fans can sometimes check many answers for some questions.)

My favorite music is:

• Country
• Western
• Anything played on an accordion

My favorite meal is:

• Head cheese and Old Milwaukee
• Cheese curd and Old Milwaukee
• Venison sausage and Old Milwaukee
• Kielbasa and carp (Surf & Turf)
• $5.99 Friday fish fry
• Pickled eggs and pickled pigsfeet

My preferred weapon is a:

• 12-Gauge
• Tire iron
• Chain saw
• Ice auger
• Fishing pole

My primary auto is a:

• '67 Ford Galaxy
• '67 Ford Galaxy with transmission
• '64 Chevy Belaire station wagon
• Harley Davidson
• Snowmobile

I usually greet people by saying:

• "Ya hey dare."
• "Dem packers is playing like a bunch a old women."
• "Dey should take da whole bunch a dem der Madison liberals and just linem up and shootem."

I can count to:

• 10
• 20
• 20 if I take my boots off

My favorite reading material is:

• Fishing Facts
• Beer Bottle Labels
• Guns & Ammo
• Today's Mercenary
• Polka Digest
• Sausage Making

Things I have in my front yard:

• Various kitchen appliances
• Cars on blocks
• Cows
• Pink flamingos
• Deer hanging from tree (in-season)
• Deer hanging from tree (out-of-season)

I mostly wear:

• Polyester pants and leisure suit jacket
• Polyester pants with snags and hooded sweatshirt
• Green Bay belt buckle
• A cheesehead

The most memorable event I ever attended was:

• Minocqua Moose Call Competition
• Tomahawk Crew Cut Championships
• Oktoberfest in LaCrosse
• Evenrude Outboard Motor Finals
• Salmon-A-Rama
• Free Sample Day at Pick-n-Save

My favorite entertainment is:

• Watching Green Acres reruns
• Canasta
• Pinochle
• Sheepshead
• Burping

Favorite phrase:

• "Gollee jeez"
• "Ya d-o-n't seh?"
• "Ya betcha."
• "Okee-dohkee."

Pick one:

• Someone is helping me read this
• Someone is reading this for me

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Are you a Packer fan (or do you know one?)
Send YOUR additions to our application form!
E-mail your contribution(s) to Pam Crater and she will consider
adding it to our list.

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