Portland Skyline
Jan. 4, 2004
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Snohomish County, Washington: Innovate here

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OBA Membership Application

The OBA is a not-for-profit association of Oregon bioscience companies, research firms and related organizations. If you are interested in becoming a member of the OBA, please print the following form. The completed application can be sent via fax to: 503.228.5411 or mailed to the address below.

Note that ALL of the fields must be completed for application submission


Company  
Address  
Address  
City     
State      Zip Code 
Country  
Co Tel   
Co Fax   
Co Email 
Date     

Contact  
Title    
Tel      
Fax      
E-mail   
Emp/OR*  
Emp/Total
Mbr Type 
Dues     


* Number of Oregon employees.

For additional information, please contact:

Oregon Bioscience Association
c/o SAO
222 NW 5th Avenue, Suite 304
Portland, OR 97209
Phone: 503.241.7802
Fax: 503.228.5411

Contact: Barbara Anderman
E-mail: barbara@sao.org


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Snohomish County, Washington: Innovate here

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