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Strange Survey
WHICH "COSMIC" PROJECT SHOULD BE THE NEXT PRIORITY FOR NASA? WE SHOULD GO ON A.......
 MANNED MISSION TO MARS
 MANNED MISSION TO OTHER PLANETS
 MANNED MISSION TO THE MOON AGAIN
 NONE - STAY OUT OF SPACE!
 OTHER UNMANNED MISSIONS
 UNMANNED MISSION TO MARS
 UNMANNED MISSION TO THE MOON
 
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Texas Drivers License Application Form

Texas Driving License Application Form
Last name: ________________

First name: (Check appropriate box)
[_] Billy-Bob [_] Bobby-Sue
[_] Billy-Joe [_] Bobby-Jo
[_] Billy-Ray [_] Bobby-Ann
[_] Billy-Sue [_] Bobby-Lee
[_] Billy-Mae [_] Bobby-Ellen
[_] Billy-Jack [_] Bobby-Beth Ann Sue

Age: ____ (if unsure, guess)

Sex: ____ M _____ F _____ Not sure

Shoe Size: ____ Left ____ Right

Occupation:
[_] Farmer [_] Mechanic
[_] Hair Dresser [_] Waitress
[_] Un-employed [_] Dirty Politician

Spouse's Name: __________________________

2nd Spouse's Name: __________________________

3rd Spouse's Name: __________________________

Lover's Name: __________________________

2nd Lover's Name: __________________________

Relationship with spouse:
[_] Sister [_] Aunt
[_] Brother [_] Uncle
[_] Mother [_] Son
[_] Father [_] Daughter
[_] Cousin [_] Pet

Number of children living in household: ___

Number of children living in shed: ___

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 run
___ 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 ____ kitchen
____ bedroom ____ bathroom
____ shed

Model and year of your pickup: _____________ 194___

Do you have a gun rack?
[_] Yes [_] No; If no, please explain:

Newspapers/magazines you subscribe to:
[_] The National Enquirer [_] The Globe
[_] 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 [none]

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





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