Arkansas Governor Application
First name: ...................
Last name (if known): .......................
Address (where you live):
Mother's name (list also relation, i.e., sister): ..................
Birthdate (yours): ....................
Father's name (if known, if not, list two possible choices): ..............
Color of neck: Light Red( ) Medium Red( ) Dark Red( ) No Neck( )
Year of pickup truck: ............
Do you have the following in your truck:
Fuzzy Dice( ) Gun Rack( ) Coon Tail( )