Declaration of membership

We herewith declare our intention to becoming a member of the Swiss Biotech Association:

Company

UID register number

CEO: last name

First name

Title

CFO: last name

First name

Title

Address

Additional address info

Postcode / ZIP

City

Phone (switchboard)

Email (main company contact e-mail)

Website

Year of foundation

Number of employees

Membership categories

Categories 1 to 7 apply to dedicated biotech companies within Switzerland.

Associated membership applies to foreign companies without location in Switzerland and companies without a specific biotech dedication, such as PR companies, financial institutions and consulting companies.

Membership renews automatically on a yearly basis. Notice and withdrawal of membership only to be given in advance by year end (postal date December 31) for the following year.

Annual membership fees

Category 1 (1 – 9 employees): CHF 1'000 Category 2 (10 – 19 employees): CHF 1'500 Category 3 (20 – 49 employees): CHF 2'000 Category 4 (50 – 149 employees): CHF 4'000 Category 5 (150 – 249 employees):CHF 8'000 Category 6 (> 250 employees): CHF 12'000 Category 7 (up to 3 years of inception): CHF 500 Associated Membership (no voting rights): CHF 5'000

Contact person for membership

Contact person: last name

First name

Title

Email (direct)

Phone (direct)