Application for Membership

Membership Application Form
Thank you for your interest in BioNJ Membership!

As New Jersey’s life sciences trade association, we fulfill our mission by propelling New Jersey’s biopharmaceutical ecosystem forward in support of Patients. We do this by driving capital formation and fostering entrepreneurship; advocating for public policies that advance medical innovation; facilitating peer to peer networking and knowledge sharing; providing access to talent and education; and offering a cost-saving array of critical commercial resources.
Kindly respond to these questions to enable us to direct you to the appropriate Membership package.
Introducing BioNJ’s NEW Entrepreneur Membership Package!

To qualify for BioNJ’s Entrepreneur Membership Package, designed specifically for early-stage companies, your organization must meet four eligibility requirements. Note that the Entrepreneur category is only open to new members for the first year of membership. Consultants and service providers are not eligible.

All others are invited to join BioNJ as an Innovation or Associate Member. Please answer these four questions to be taken to the appropriate Membership application for your organization. Thank you.

Please contact Cheri Hennessy at CHennessy@BioNJ.org with questions.
Do you have at least one and no more than three employees?*

YesNo
Is your company pre-revenue?*

YesNo
Is your company pre-Series A?*

YesNo
Are you a new BioNJ Member?*

YesNo
Congratulations! You are eligible to apply to BioNJ’s Entrepreneur Membership Package.
Company Information
Organization Name: *
Address:*

CityState

Zip CodeCountry
Phone Number:*
Please enter a valid phone number.
Website:*
Date of Application:*

MonthDayYear
Date
Number of Employees:*
Does your organization have laboratories in NJ?*

YesNo
Is your organization headquartered in NJ?*

YesNo
Please provide a 50–100-word company description to your application. This is required in order to process your application.*

0/100
Please choose a Membership category:
Market Maker Member: $50,000

Organizations that affiliate with BioNJ at the highest level of support become our most esteemed partners and associates in the work of advancing the vitality and awareness of the most important industry in New Jersey andenjoy the highest level of benefits. Annual dues are $50,000.
Preferred Member: $30,000

Organizations that elect to become Preferred Members make a clear commitment and investment in the growth of the industry in NJ by supporting legislative and regulatory efforts, life science business activities, business networking and education. Annual dues are $30,000.
Executive Member: $16,000

Organizations that choose to become Executive Members demonstrate their interest in fostering the growth ofthe biopharmaceutical industry in NJ along the entire spectrum of activities supported by the Association. Annual dues are $16,000.
Innovation Member (R&D Companies)
Any corporation, partnership, association or other entity, with research and development activities that principally involve biopharmaceutical research and development, manufacturing, diagnostics, drug discovery and technology transfer is eligible for Innovation Membership. These Members have voting rights. Dues are based upon the total number of people employed by the company.
Employees: 1-10: $650Employees: 11-20: $1,700Employees: 21-50: $2,200Employees: 51-100: $4,200Employees: 101-200: $5,700Employees: Greater than 200: $6,700Employees: Greater than 300 with SALES ONLY IN NEW JERSEY: $4,200
Associate Member (Service Provider Companies)
Any corporation, partnership, association or other entity providing services or products of benefit to R&D companies is eligible for Associate Membership. Dues are based upon the total number of employees.
Employees: 1-3: $950Employees: 4-10: $1,450Employees: 11-50: $2,400Employees: 51-100: $4,200Employees: 101-200: $5,200Employees: 201-300: $6,200Employees: Greater than 300: $7,700Employees: Greater than 300 with SALES ONLY IN NEW JERSEY: $4,200
Institution Member: $1,750

Any non-profit institution not generally eligible for Innovation Membership, working in support of the industry, is eligible as an Institution Member. Annual dues are $1,750.
International Member: $1,500

Any non-profit, foreign enterprise or government organization that does not have a USA presence is eligible for International Membership in order to support and interact with the biopharmaceutical industry in New Jersey and use New Jersey as a landing pad for regional USA business development and exploration. Annual dues are $1,500.
In-Transition Member: $150

This category is reserved for individuals currently seeking employment opportunities in the biopharmaceutical industry, with no current company (employment) affiliation. Annual dues are $150.
Student Member: $50

Any student currently enrolled in college or graduate school with an interest in the industry is eligible for Student Membership. A copy of a student I.D. must accompany the application. Annual dues are $50.
Entrepreneur Member: $165

Your organization must meet specific requirements to qualify for this Membership category. This membership is open to new members only for the first year of membership. Consultants and service providers are not eligible for Entrepreneur Membership. Annual dues are $165.
How did you hear about BioNJ?*
What classification(s) best describe your organization? (Please check all that apply.)*

AcademicAgricultural/IndustrialArtificial Intelligence (AI)Biobanking & BioprocessingBioinformaticsBiotechnologyBusiness and Financial ConsultingCleanroom Operations & MechanicsClinical ResearchClinical Research CenterCommunications, Marketing & PRConsumer Products, Flavors and FragrancesContract ManufacturingContract ResearchCybersecurity/SoftwareDigital Health/Data Science ITDrug Delivery TechnologyDrug DevelopmentDrug DiscoveryFinancial ServicesGovernmentHospitalHuman Diagnostic DevelopmentHuman Resources & StaffingInformation TechnologyInsuranceInternational Trade & Economic DevelopmentInvestment & Capital FirmsLegal and Intellectual PropertyManufacturingMedical DevicePackaging/DeliveryPublicationsReal Estate & Property DevelopmentResearch InstituteResearch Supplies & InstrumentationOther
Therapeutic/Research Areas: (Please check all that apply.)*

3D PrintingAutoimmune/InflammationBiodefenseCardiovascularCell & Gene Therapy/Genetic DisordersCentral Nervous System/NeurologicalDermatologyEndocrine/Metabolic & Women’s HealthGastrointestinalGenerics/BiosimilarsGenitourinaryHematologicalImmunotherapy/Precision MedicineInfectious DiseaseMusculoskeletalNutritionOncology/Cancer CareOphthalmologyOrthopedicPainRare DiseasesRespiratoryVaccinesOther
Employee Information
CEO/President – Name:
CEO/President – Title:
CEO/President – Email Address:
example@example.com
Business Development – Name:
Business Development – Title:
Business Development – Email Address:
example@example.com
Human Resources – Name:
Human Resources – Title:
Human Resources – Email Address:
example@example.com
Chief Scientific Officer – Name:
Chief Scientific Officer – Title:
Chief Scientific Officer – Email Address:
example@example.com
CFO/Finance – Name:
CFO/Finance – Title:
CFO/Finance – Email Address:
example@example.com
Purchasing – Name:
Purchasing – Title:
Purchasing – Email Address:
example@example.com
Legal – Name:
Legal – Title:
Legal – Email Address:
example@example.com
Corporate Communications – Name:
Corporate Communications – Title:
Corporate Communications – Email Address:
example@example.com
Key Membership Contact Information
Main Contact/Dues Invoice – Name:*
Main Contact/Dues Invoice – Title:*
Main Contact/Dues Invoice – Email:*
example@example.com
Main Contact/Dues Invoice – Phone:*
Please enter a valid phone number.
Dues Invoice if different from main contact.
Dues Invoice Name:
Dues Invoice – Title:
Dues Invoice – Email:
example@example.com
Dues Invoice – Phone:
Please enter a valid phone number.
Payment - Applicant will be invoiced upon receipt and approval of application; BioNJ is a 501(C)(6) tax exempt organization, Tax ID# 22-3284393

Statement of Support of BioNJ Principles and Agreement to BioNJ Information Practices

BioNJ membership is available only to bona fide organizations that promote biopharmaceutical research and support the growth and development of the biopharmaceutical industry; and to organizations with public policy positions and business practices that are generally consistent with BioNJ’s reputation and its policies and principles in support of innovation, including intellectual property, as determined by the Board of Trustees. BioNJ reserves the right to review applications for membership to confirm that the applicant meets these criteria for membership and for the specified categories of membership as per BioNJ’s bylaws. BioNJ may, in its sole discretion, reject an application for membership or elect not to renew membership.

I, on behalf of the company listed above, (hereafter “Company”), affirm that the applicant generally supports BioNJ’s public policy positions, and that the positions and business practices of Company are generally consistent with BioNJ’s reputation and its policies and principles in support of innovation, including intellectual property.

I understand and agree that BioNJ and its partners may use the Company contact information and the personal information for the individuals listed in the Company’s BioNJ Membership Application Form (the “Contacts”) for a number of purposes, including: to communicate with the Company and the Contacts via telephone or through mail, facsimile, email or any other mode of communications; to provide notices and information to the Contacts about BioNJ, its activities and meetings and services, as well as its partners and their products and services; to maintain the information in its databases for use by BioNJ and its partners for the activities listed above and other activities that may be approved by BioNJ in the future. I acknowledge that this consent shall continue until receipt of a written request to BioNJ requesting that it discontinue use of the Information.
I Agree to the Statement of Support of BioNJ Principles and Agreement to BioNJ Information Practices
Name*

First NameLast Name
Signature

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Date

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Date
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Membership Application Form

Company Information

Employee Information

Key Membership Contact Information

Dues Invoice if different from main contact.