Congratulations on having been selected for the Long-Probe B form of the United States Census. Remember: filling out the form is non-compulsory, but failure to submit may result in an income tax audit, foreclosure on all property, and Department of Justice agents egging your home. Also, remember: census data can only be used in arranging voting districts, allocating public money, and singling-out undesirables. This data cannot be redistributed to other government agencies, sold to direct-mailing companies, or passed around the office to amuse census workers and their friends.


Name used in underage porn chat rooms:


Gender (original): M F

How much did you earn last year?

How much did you claim you earned on last year's tax forms?

I pay my Federal Income Tax:
Sometimes Occassionally Never

Are you or have you ever been a member of a(n):

If so, enter name and contact info:

Are you an illegal alien? Yes No

Do you know any illegal aliens? Yes No

Do you listen to Ricky Martin
in English or in Spanish?

Do you own a bathtub? Yes No

How often do you bathe? Daily Weekly

Whenever the illegal aliens in my bathtub complain about the smell.

When you have completed the form, please submit. submit

Privacy questions?

Back to Bunk