WBIA
About the WBIA
WisconsinBioIndustry
A l l i a n c e
Who We Are
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ϐ based renewable energy and power in Wisconsin. By bringing the appropriate players to the table, ǡ ϐ Ǥ
Mission
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ur mission ϐ ǡ Ǧ Ǧ Ǥ
Vision
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ur vision ǯ ϐ ǡ ϐ ǡ Ǥ
Goals and Objectives: Ȉ Ǧ Ǥ Ȉ Ǥ
Priorities: Ȉ Ȉ Ȉ
5027 West North Avenue, Milwaukee, Wisconsin 53208 ŚŗŚǯřŚŚǯŗŝřřȱȊȱ ǯ ¢ǯ ȱȊȱ ȓ ¢ǯ
WBIA
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WisconsinBioIndustry
A l l i a n c e
Founding Member Elite Member Associate Member ($2,500 per month) ($10,000 annually) ($5,000 annually)
Supporting Member ($2,500 annually)
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5027 West North Avenue, Milwaukee, Wisconsin 53208 ŚŗŚǯřŚŚǯŗŝřřȱȊȱ ǯ ¢ǯ ȱȊȱ ȓ ¢ǯ
WBIA
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WisconsinBioIndustry
A l l i a n c e
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5027 West North Avenue, Milwaukee, Wisconsin 53208 ŚŗŚǯřŚŚǯŗŝřřȱȊȱ ǯ ¢ǯ ȱȊȱ ȓ ¢ǯ
WBIA
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WisconsinBioIndustry
A l l i a n c e
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5027 West North Avenue, Milwaukee, Wisconsin 53208 ŚŗŚǯřŚŚǯŗŝřřȱȊȱ ǯ ¢ǯ ȱȊȱ ȓ ¢ǯ
WBIA
Membership Application
WisconsinBioIndustry
A l l i a n c e
Member Information ORGANIZATION/BUSINESS: ADDRESS: CITY:
*PRIMARY CONTACT: EMAIL:
STATE:
TITLE:
PHONE:
ZIP:
WEBSITE: *If you would like additional staff members (aside from the primary contact) to receive WBIA communications, please attach a separate list of additional contacts including names, titles and emails.
Membership Support Level Please select a membership level by checking the appropriate box: Founding Member ($2,500 per month) Elite Member ($10,000 annually) Associate Member ($5,000 annually) Supporting Member ($2,500 annually) ϔ ϔ Ǥ ǡ ̻ - Ǥ ȋͺͷͺȌ ͺͺǦͷͽǤ
5027 West North Avenue, Milwaukee, Wisconsin 53208 ŚŗŚǯřŚŚǯŗŝřřȱȊȱ ǯ ¢ǯ ȱȊȱ ȓ ¢ǯ
WBIA
Membership Application
WisconsinBioIndustry
A l l i a n c e
About the WBIA ϐ Ǧ based renewable energy and power in Wisconsin. By bringing the appropriate players to the table, the ǡ ϐ targeted at the most fertile opportunities in Wisconsin. ͷͲͳȋ Ȍ͵ ϐ Ǧ Ǥ ϐ Ǥ
Submit Your Application To join the WBIA please submit this signed form with your membership support check made payable to The Wisconsin Bio Industry Alliance. Please send the completed form and your payment to: Wisconsin Bio Industry Alliance 5027 West North Avenue Milwaukee, WI 53208 ǣ ȋͶͳͶȌ ͵ͶͶǦͳ͵͵ info@wisconsinbioindustry.com
Signature:
Date:
Ǩ
5027 West North Avenue, Milwaukee, Wisconsin 53208 ŚŗŚǯřŚŚǯŗŝřřȱȊȱ ǯ ¢ǯ ȱȊȱ ȓ ¢ǯ