Cincinnati Observatory Center' Membership Apllication

Join the Cincinnati Friends of the Observatory. ScopeOut is just the beginning.

The Cincinnati Observatory Center

Contribution Form

Please print this form, fill it in and mail it, with your contribution, to the address provided below.

Please accept this contribution for:____________________________________

In honor / memory of:_______________________________________________

Name(s):_________________________________________________

Address:_________________________________________________

City, State, Zip:____________________________________________

Phone:_________________________

E-MAIL:_________________________________________________________

$25.00

$50.00

$100.00

$250.00

$500.00

$1,000.00

$ Other

Please bill me in 4 equal quarterly payments: _______

Please make checks payable to the: Cincinnati Observatory Center.
Or charge your contribution to Visa, MasterCard or Discover:

Card Number________________________________Expiration Date__________

Mail to.
Cincinnati Observatory Center,
3489 Observatory Place,
Cincinnati, OH 45208