New Living Will Form

I, __________________________, being of sound mind and body, do not wish
to be kept alive indefinitely by artificial means.
Under no circumstances should my fate be put in the hands of pinhead
politicians who couldn't pass ninth-grade biology if their lives
depended on it, or lawyers/doctors interested in simply running up the
bills.

If a reasonable amount of time passes and I fail to ask for at least one
of the following:

______a cold beer

______a glass of wine

______a Bloody Mary

______a Margarita

______a Scotch and soda

______a Martini

______a Vodka and Tonic

______ a Bourbon on the rocks

______a Steak

______Lobster or crab legs

______The remote control

______a Bowl of ice cream

______The sports page

______ a new rifle

______Chocolate

______Sex

it should be presumed that I won't ever get better.

When such a determination is reached, I hereby instruct my appointed
person and attending physicians to pull the plug, reel in the tubes and
call it a day.

Signature: ___________________________<BR>
Date: ___________________________