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What if you were to become disabled and couldn't hunt or fish anymore? What if you are disabled and you want to go hunting and fishing again? Now you can have a partner to renew or inspire your love of these sports and to provide access to a safe and quality adventure in the Great Outdoors! Whether you are disabled or not, we want to insure that these activities can always be a part of your life.

To apply for membership or make a contribution complete the form below, print on your printer, include your check and mail to:

Capable Partners
P.O. Box 27664
Golden Valley, MN 55427-0664

Thank You for Your Support!

SECTION A: Membership Information
Last Name:
First Name:
Address:
City:
State: (2 characters)
Zip: (#####-####)
Home Phone: (###-###-####)
Work Phone: (###-###-####)
Email Address:
NRA Membership No.:
Please check one: Disabled Able Bodied
Do you use a wheelchair? Yes No
Are you a veteran? Yes No
SECTION B: Individual Interests: (please check all that apply)
Fishing Pheasant Shotgun Deer
Duck Goose Turkey
Bear Archery Other Activities (newsletter, picnic, banquet, or general fund)
SECTION C: Emergency Information
Last Name:
First Name:
Address:
City:
State: (2 characters)
Zip: (#####-####)
Home Phone: (###-###-####)
Work Phone: (###-###-####)
Relationship:
Please list any medications you take regularly or any other information that should be relayed to an emergency care giver:
SECTION D: Membership Fees and Contributions
Contributions are Welcome! All contributions and donations may qualify as tax deductible. Capable Partners is a 501(c)(3) non-profit organization. A contribution can be designated for a specific outing, purchasing fishing or hunting gear or underwriting other activities such as the newsletter, annual picnic, annual banquet, or general fund.
I have enclosed a $20.00 fee for membership
I have enclosed _____________ as a contribution
I am requesting a scholarship for membership
If you have a boat or land for Capable Partner's use, please check this box.
Please provide any comments, questions, special considerations for scholarship, or instructions for directed contributions.

After completing the form:
1. Select "File" from your browser menu and then select "Print".
2. Send the printed form and your check to:
Capable Partners
P.O. Box 27664
Golden Valley, MN 55427-0664

FOR MORE INFORMATION
CONTACT CAPABLE PARTNERS!
  Capable Partners
P.O. Box 27664
Golden Valley, MN 55427-0664

By Phone: (763)439-1038

e-mail: communications@capablepartners.org

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