Member Application

Thank you for your interest! Please complete this online application for membership in NCLifeSci or you may download and complete this PDF version of our application.

Membership dues structure

Core members of the NC Life Sciences Organization pay an annual membership fee according to the number of employees the organization has in North Carolina. Core members are life sciences companies and operate in areas such as pharmaceuticals, gene therapies, CROs, CDMOs, medical devices and agricultural technology.

Affliate members are those who support life sciences companies through goods and services. They pay a flat rate of $1,500 a year. Affiliate members include suppliers, law firms, staffing firms, real estate developers, contractors and builders and more.

Out-of-state members with no North Carolina operations who wish to join NCLifeSci may do so for a flat fee of $950 a year.

Nonprofit organizations may join NCLifeSci for an annual fee of $1,000.

BMF members are manufacturers who produce life sciences products and treatments and affiliated companies who directly support manufacturing operations. These companies pay a fee of $10,000 annually to be a part of our Biotech Manufacturers Forum. Manufacturers who are setting up operations and have not yet begun production can join as BMF startup members at an annual rate of $4,800. Companies that support life sciences manufacturers can also join the BMF as BMF affiliates at $4,800 per year. BMF members must also be NCLifeSci members, and BMF dues are in addition to regular membership dues.

NCLifeSci core member rates

Core 0	Core 1	Core 2	Core 3	Core 4	Core 5	Core 6
1-3 employees	4-15 employees	16-50 employees	51-200 employees	201-500 employees	501-1,000 employees	1.001+ employees
$250	$950	$2,000	$3,500	$7,000	$8,000	$10,000

Step 1: Member Info

Step 2: Additional Info

Step 3: Primary Contact

Step 4: Billing Contact

Step 5: Membership Options

Step 1:

Member Info

Company Name *

Please add your company name.

Phone *

Please add your company phone number.

Website

Email *

Please add a valid email.

Physical Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Zip *

Please add your Zip.

Mailing Address

Same as physical address

Address line 1

Address line 2

Country

City

State

Zip

Step 2:

Additional Info

Business Description (200 char max) *

Please add your company description.

Business Keywords * (enter a space between words)

Please add your business keywords.

Directory Category

Full-time Employees

Part-time Employees

Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title

Phone *

Please add your phone number.

Cell Phone

Fax

Email *

Please add a valid email.

Contact Preference

Phone

Address

Same as Address in Step 1

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Zip *

Please add your Zip.

Facebook

Create Account

Password *

Please add your login password.

Step 4:

Billing Contact

Same as Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title

Phone *

Please add your phone number.

Cell Phone

Fax

Email *

Please add a valid email.

Contact Preference

Phone

Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Zip *

Please add your Zip.

Social Network Addresses

Create Account

Password *

Please add your login password.

Step 5:

Comments/Questions

Payment Option

Bill Me

Please complete the Captcha

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Printed courtesy of www.nclifesci.org/ – Contact the NC Life Sciences Organization for more information.
4505 Emperor Blvd, Ste 105, Durham, NC 27703 – (919) 281-8960 – Admin@NCLifeSci.org