BioOhio: Membership Application

Membership in BioOhio is attainable at various levels, designed to encourage participation from the largest organizations to the budding entrepreneur.

Bioscience Companies: Corporations, partnerships or other entities whose business activities involve bioscience, such as diagnostics, medical devices, pharmaceuticals, agricultural biotechnology, genomics/proteomics, bioinformatics, contract research, etc.

Academic/Non-Profit/ Research Institutions: Universities, hospitals, research institutions and any other non-profit organization involved with bioscience research, advocacy, application, or education.

Service Providers: Companies that provide support services to Ohio’s bioscience community, such as legal firms, accounting firms, insurance providers, consultants, and equipment vendors/suppliers.

Financial Entities: Organizations and entities involved in funding/financing bioscience ventures, such as VCs and banks.

Founding Members & Pillar Members*: Organizations that recognize the importance of a strong bioscience industry in Ohio and support BioOhio with additional funds to exhibit their role as an Ohio bioscience leader. Qualify for extra benefits.


Company Name:	*
Address:	*

City:	*
State:	*
Zip:	*
Phone:	*
Fax:
Web Site:


Name:	*
Title:	*
Email:	*

Bioscience Companies
Less than 25 employees	$150
25-49	$250
50-149	$500
150-499	$1,000
500-999	$2,000
1,000-1,499	$3,000
1,500-2,499	$4,000
2,500-4,000	$5,000
More than 4,000	$6,000
Financial Entities
Managed assets < $30M	$450
Managed assets > $30M	$750
Research / Academic / Non-Profit
Less than 2,000 employees	$1,500
2,000 or more	$3,000
Service Providers
Less than 25 employees	$300
25-49	$600
50-149	$1,000
150-500	$2,000
More than 500	$3,000
**Founding Member Premium*
Research/Academic/Non-Profit	$6,000 additional
Companies	$12,000 additional
**Pillar Member Premium*
Research/Academic/Non-Profit	$1,000 additional
Companies	$3,000 additional
Individuals / Entrepreneurs
	$75
Students
	$10

BioOhio is a 501(c)(3) charitable organization. As such, membership fees provided to BioOhio may be tax deductible. Please consult your tax adviser prior to claiming BioOhio membership dues as tax deductible contributions.



	* = Required Field