Apply to be a Member | Life Science Washington

Life Science Washington membership is comprised of companies from across the state, representing biotechnology, medical devices, research institutions, digital health/health IT, bioagriculture, biofuels and service providers who support the industry.

Once a company is an LSW member, all employees within the company are also members.

Organization Name *

Organization Website / URL

Organization Description *

Organization Address *

Address Line 1

Address Line 2

City

State

Zip Code

*Please ensure your company address can accept mailed invoices. We do not accept PMBs at UPS, messenger collectives or other shipping stores, or virtual addresses.

WA State UBI

If your organization is doing business in Washington state, please provide the business’ UBI.

Year Founded

Total Number of Employees *

Number of Employees in Washington State *

Primary Contact *

First

Last

Please provide a primary contact that we can contact and will have access to our member portal.

Primary Contact Email *

Primary Contact Phone *

Billing Contact – Is your billing contact different than your primary contact? *

Is your site head/regional manager/CEO different than your primary contact?

Do you have a human resources person different than your primary contact?

Contact Total Manager/CEO