Mt. Wilson Observatory Association Online Membership Form

Mail to:
The Mt. Wilson Observatory Association
P.O. Box 70076
Pasadena, CA 91117-7076


Name_________________________________________________________________________________

Address______________________________________________________________________________

City/State/Zip_______________________________________________________________________

Daytime Phone______________________________ Home Phone_______________________________

E-mail_______________________________________________________________________________

How did you find out about the Mt. Wilson Observatory Association?

______________________________________________________________________________________________


Please enroll me in the membership indicated:

___ $20, Associate Membership
___ $30, Family Membership
___ $100, Sustaining Membership

Total payment enclosed: ______________________

Tell us about yourself:
Do you have a special area of interest? Do you have any special skills, and/or are willing to
volunteer time to work on MWOA projects? Perhaps you would be interested in information on
MWOA committees or the Board of Trustees?

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________