Crusaders Membership Application
Name:___________________________________________________
Nickname:___________________________
CB Handle:___________________
Address (RFD):_________________________________________________
Daddy (if unknown affix list of 3 suspects):_______________________________
Neck size:____[ ] Light Red [ ] Medium Red [ ] Dark Red [ ] Other
Number of teeth exposed in full grin:____Upper:_____ Lower:____
Make of Pickup:_________________________ Tire Size:______________
Hounds:_____________ Type: [ ] Blue Tick [ ] Beagle [ ] Black and Tan
Length of right leg:__________Length of left leg:__________ other:_________
How many cars/makes in front yard? ______________________________
How many on blocks? ___________________________________________
How many kitchen appliances on front porch? ___________________
back porch?___________
When and where was your last “Elvis” sighting? _______________________________________
Do you wear mostly polyester pants with snags?[ ] Yes [ ] No
Are you married to any of the following?(circle all that apply)
-Sister –Cousin-Cousin’s Sister
-Other,
Explain:_____________________________________________
Have you EVER had more than one bath a week?
[ ] No [ ] Yes,
Explain:_________________________________________
Medical Information
Do you have at least two (2) of the following:[ ] B.O.[ ] Lice
[ ] Crabs[ ] Bad Breath[ ] Hoof in Mouth[ ] Scabs[ ] Fleas
[ ] Infected Tattoos[ ] Crossed eyes[ ] Runny Nose[ ] Green Teeth
[ ] Yellow Teeth[ ] Any Teeth[ ] Speach Impediment
General Information
Can you count past 20 without stripping? [ ] yes [ ] no[ ] never tried
Favorite Weapon: [ ] Tire Iron[ ] Pick Handle
[ ] Log Chain[ ] Shotgun
Favorite Pastime: [ ] Drinkin’[ ] Coon Huntin’
[ ] Fishin’ [ ] Fuedin’[ ] Other
Truck equipped with:[ ] Gun Rack[ ] Fuzzbuster[ ] 8-Track
[ ] Rebel Flag[ ] Roll Bar[ ] C.B. Radio
[ ] Beer Cans[ ] Squirrel Tail[ ] Bull Horns
Favorite Vocalist:[ ] Elvis (the young Elvis)
[ ] Elvis (the old Elvis)[ ] Elvis (dead)
Cap Emblems: [ ] John Deere[ ] CAT[ ] SKOAL[ ] Budweiser
[ ] Bud Dry[ ] Jack Daniels[ ] Teamsters local
Memberships: [ ] NRA[ ] VFW[ ] KKK[ ] 700 Club
[ ] B.P.O.E.[ ] Sine-aid Society
Do you vote?[ ] Yes[ ] No[ ] What’s that?
Have you ever been in jail?[ ] Yes[ ] No[ ] Born there
Date:____________
Your Signature (one X will do): _______________________
Islaam Bashing Club membership is FREE to all anti-Islam and anti-Muslim brethren, who must join this club to show their faith in Genocide and Crusades. For detail contact Pastor Peecock and Rev. Moron or email us… mailto:ihatemuslims@crusaders.com