Membership Application | Members | Life Science Tennessee

Name:

Company:

Position/Title:

Business Address:

Business City:

State:

Zip:

Business Telephone:

Business Fax:

Email Address:

Business Website:

Please select your organization's category:

If "Other", please specify your organization's category.

Number of Employees:

Please select:

Company with 1-10 employees $500

Company with 11-50 employees $1,500

Company with 51-100 employees $2,500 (including venture capital firms and 2-year colleges)

Company with 100-500 employees $3,500

Company with 500+ employees $5,000

Student/Graduate Alliance $25

High School Teacher $75

Sponsorships:

Legislative Events $3,500

Patron $7,500

Supporting $10,000

Premium $15,000

You may also download a printable membership application here.

Please pay by check made to “Life Science Tennessee” and mailed to:
Life Science Tennessee Membership/Sponsorship
222 Second Ave. North, Suite 210
Nashville, TN 37201
(please denote the member first and last name or the company name on the check memo field).

Definitions and special situations:

(1) Membership fees for Venture Capital firms will be equal to the 51-100 employee level.

(2) Membership fees for two-year colleges and vocational schools will be equal to the 51-100 employee level.