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Default Form 69 - Application For A Date With A Sailor

Here you are Larry

"Larry W4CSC" wrote in message
...

When I was a Navy sailor, wo back in the 60's, we created a very official-
looking US government form aboard USS Everglades (AD-24) called Form 69 -
Application For A Date With A Sailor. It was filled with VERY personal
questions, very funny multiple-choice answers and looked like it came from
the US Government Printing Office. We printed thousands to be left on

bars
all over our ports of call.


Application for a Date with a Sailor
(please print.)

NAME in full (first)_____________ (Middle)_____________
(Last)_______________

Date of Birth____________________ Age______________

Tel. no.______________Address_________________________

Height___________ Weight____________ Color_Hair__________

Size of stockings_____________ Color_Preference____________

Figure (check one) ___good ____fair _____poor ____hurtin' ____pig
_____please

When intoxicated, what do you do?__________________________

Do you like it?_________ Would you try anything once?________

Twice?_____ Would you with me?______

Do you have a sister?______ Old enough to take your place in case you should
be ill?__________

brothers?______ How many?______ Are they boxers?______

Do you believe in: Kissing?________ Hugging?_______

OTHER (Explain)_________________

Have you ever been kissed on the nose?______

Ears?_____ Eyes?________ Lips?____ Neck?_____ Legs?____

OTHER places? (Explain)____________________________

Do you stay out late?_______ how late?_______

How late will you stay out with me?__________________

Why?________ Do you like beach parties?____________

Weekend parties?____________________

Private parties for two?_______________

Moonlight rides?___________

Do you believe in love at first sight?________

When you meet me, how will you greet me? (check one):

Kiss?____ Hug?____ Laughter?____ Tears?______

Handshake?______ OTHER (Explain)__________

A brief description of your dream man:________

What type of letters would you enjoy getting from me? (Check one):

Newsy?______ Intimate?______ Passionate?_______

Nasty?_______ OTHER (Explain)________________

Do you have a boyfriend?_______ Big?_____

How Big?____ Does he get jealous?_________

How Jealous?_______ Can you handle him?________

How often does he leave town?________________

Does anyone read your mail?__________ Why?_________

Do you have a job?________ What type?____________

When's payday?________ How much?______

Can we live off it?_______ Do you own a car?________

What type?_____ Condition?________ Is it paid for?_______

How big is your father?_________

Does he get mad very easy?______ Does he own a shotgun?_______

Can he shoot straight?_________

Are you angry when kissed on first date?_________

Why or Why not?______ Would you date me?________

What would you like to do on our first date?
__________________________________________________ ______________________


PLACE LIP PRINTS HE





This form you have just filled out does not insure a date with me; it is
only an application. My justifiable reputation will help my judgment in
determining whether or not you are suited for a date with a sailor or
whether or not you are still a little inexperienced yet. No matter what the
outcome, your application will remain in my files and perhaps in the future,
your time will come!!!!!!!!

SIGN HE


I hereby certify that all statements made by me in the form above are
correct. I also understand that there is punishment for perjury or forgery.

__________________________________________

Signed this __(date)___ Day of __(month)___ in the year ___(yr)___