Become a Friend
of the
Lake Afton Public Observatory

Name:	    ____________________________

Address:    ____________________________

 	    ____________________________

City:	____________________________

State:	____________  	Zip: ___________

Phone:	____________________________

	Membership Categories

_____  $15  Student	  _____  $100  Sustaining

_____  $15  Sr. Citizen	  _____  $250	Patron

_____  $20  Individual	  _____  $250	Business

_____  $30  Family	  _____  $500	Bus. Donor

_____  $50  Donor	  $________________


_____  New Member	_____  Renewal

May we list your name in our newsletter? 

 _____ Yes		_____  No

  Gift Membership from

Name:	    ____________________________

Address:    ____________________________

 	    ____________________________

City:	____________________________

State:	____________  	Zip: ___________


Mail to:	Lake Afton Public Observatory
		1845 Fairmount
		Wichita, KS 67260-0032

Phone:	(316) 978-3191

Please note that the first $30 of any membership is not tax deductible.