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I'm going to the backseat of my car with the woman I love, and I won't be back for TEN MINUTES
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A Public Service to My Friends
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: ______Scotch and water ______Glass of wine ______Margarita ______Martini ______Steak and baked potato ______Chicken fried steak and cream gravy ______Mexican food ______Hamburger and fries ______Pizza ______The remote control ______Bowl of ice cream ______Double Espresso ______Chocolate ______Sex ______Personal Selection: ____________________________________ 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. Notarized by: ____________________________ Date: ___________ |
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