Become a member

Membership form

Join BioWin

Please complete the following form to send us your membership application. BioWin membership is open to organisations in Wallonia contributing to health innovation (biopharma and health-tech) and to organisations outside Wallonia looking to develop activities in the region. Eligible members include R&D and manufacturing companies of all sizes, clinical research organisations, academic institutions, hospitals, and research centres.

General information

Company/Organisation name *

Street *

Number *

City *

Zip code *

VAT number *

Number of FTEs *

Website *

Company email address *

Company phone

Description of activities (max 100 words)

Motivation for joining BioWin

Company/Organisation's manager

First and last name *

Job title *

Email address *

Phone *

Main contact

Same as the Company/Organisation's manager*

First and last name *

Job title *

Email address *

Phone

Special request

I agree to the privacy policy. By submitting this form, I confirm that I have read and I accept BioWin’s internal regulations and the general terms and conditions of BioWin membership.