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Membership Application

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We're sorry, there was an error trying to access your membership application. Please reload and try again, if this problem persists please contact our Membership Team at [email protected] or call (619) 746-7771.

Please enter your company information, all fields are required unless otherwise noted.

Please review and edit your Membership Contacts.

At a minimum we require Primary and Alternate Contacts, Primary and Secondary Billing Contacts and a Primary Purchasing Contact. We would encourage you to add your CEO, CFO and HR head, so that we can include them in relevant event invitations.

Contacts

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Select the most relevant category for your organization, you can only choose one.

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Select the primary technology for your organization, you can only choose one.

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Select which stage or stages of development your product or products are in, you can choose as many as you wish.

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Select which categories apply to your company, you may select as many as you wish.

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Biocom California has 5 pillars. Please rate each of our pillars by how much perceived value they will provide to your organization.

Savings

High Value

Some Value

Limited Value

No Value

Not Sure

Networking

High Value

Some Value

Limited Value

No Value

Not Sure

Investment & Partnering

High Value

Some Value

Limited Value

No Value

Not Sure

Advocacy

High Value

Some Value

Limited Value

No Value

Not Sure

Workforce Development

High Value

Some Value

Limited Value

No Value

Not Sure

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Completed By and Signatory Information, all fields are required.

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Breakdown of Membership Cost

Item
Quantity
Amount

Pay via Credit Card

Pay By Check or Wire/ACH Transfer

Make your check out to Biocom California and mail to

Biocom California

10996 Torreyana Rd. Suite 200

San Diego, CA 92121

Please note checks made payable to Biocom can no longer be accepted.

Wire/ACH transfer

Account Holder Name: Biocom California

Bank Name: Pacific Western

Bank Address: 406 Blackwell Street Suite 240, Durham NC 27701

Swift Code: SQARUS33

Bank Account Number: 9000100224

Routing Number: 122238200

Request an Invoice

To pay via phone or for general membership questions please call our Membership Team at (619) 746-7771.

Your membership renewal is free!

Click Submit Application to finalize your renewal

Submit Application

We're sorry, but online payment is not allowed. Please call Kaeli Flaska at (858) 832-4154.

Thank you for completing the membership application!

To pay via phone or for general membership questions please call our Membership Team at (619) 746-7771.