Friends of Palomar Observatory Annual Membership Application

 

 

 

 

Name________________________________________

 

Address _____________________________________

 

City ___________________ State_____ Zip_______

 

Phone _______________________________________

 

Email _______________________________________

 

   Check     Visa     Mastercard     (circle one)

 

Credit Card # ________________________________

 

Expiration Date ______________________________

 

Signature ____________________________________

 

Please print, complete this form, and mail it to:

 

Friends of Palomar Observatory

P.O. Box 200

Palomar Mountain, CA 92060-0200

 

For questions call (760) 742-2111,

e-mail friendsofpalomar@astro.caltech.edu or visit www.friendsofpalomarobservatory.org