Member Representative Name:
Position or Title:
Provide names of up to four (4) additional people (with email addresses) within your organization that may wish to
obtain information about BioNorthTX:
Please list name of person responsible for purchasing in your company:
Please check if applicable:
Yes, please list my company name and website in the BioNorthTX website membership directory
Please check off areas of interest to you and your company regarding costs savings through the THBI/BIO Business
Solutions national purchasing program. This discount program is a free member benefit. Savings will exceed the cost of
your BioNorthTX membership!
TriNet HR & Health Benefits SolutionsBioSurplusElsevier Business IntelligenceFedEx ShippingFedEx Deep Frozen ShippingThe Linde GroupTechDepot by Office DepotShare VaultVWR Lab SuppliesBusiness WireOffice DepotTechDepotAPPI Energy ConsultingChubb Business InsuranceInformaHumboldt Moving & Storage
Please indicate below what membership category your company falls into for verification of annual membership
— select category —
1 – 10 employees $35011 – 20 $75021 – 100 $1,500101-250 $2, 500251-500 $3,000501 or more $4,500
1 – 20 employees $1,00021 – 100 $2,500101 – 250 $3,500251 or more $5,000
Non-Profit trade group $350University/Research Institution $1,500 <40M Research ExpendituresUniversity/Research Institution $3,000 >40M Research ExpendituresUniversity/Research Institution $5,000 >75M Research ExpendituresHospitals/Clinics $3,000
Student $35Job Seeker $75Individual $150
Life Science Members – All dues based on total number of full-time employees worldwide. Definition: Companies and
organizations that working in fields that include: Research, Biotechnology, Medical Device & Equipment, Pharmaceuticals
& Therapeutics, Nanotechnology, Diagnostics, and Product Development/Drug Discovery Firms.
Associate Members – All dues based on total number of full-time employees worldwide. Definition: Companies and
institutions that are not directly involved in commercial biotechnology/life science product development or
commercialization, but share an interest in the industry’s future and provide service or products to Life Science companies.
Examples: Professional Services (consulting, law, insurance, HR Solutions. marketing, VC & investment firms, financial
services, real estate, site selection, product sales & distribution, service IT providers, etc.), Health & Life Science IT (Medical
Records, R&D, Wellness, Revenue Cycle, etc.), Contract Research (Clinical & Pre-Clinical Trials, Trial Data Management),
Marketing, Sales, Laboratories & Testing Services, etc.
Institutional Members – All dues based on total number of full-time employees worldwide. Definition: Institutions and
organizations involved with bioscience research & development, care delivery, education, and advocacy, Clinics/Hospitals,
Colleges/Universities, Research Institutions, Non-Profit Disease Related groups or industry trade associations/professional
Definition: Individuals, job seekers and students interested in the life science industry
We would like to contribute the following amount above our association membership dues, to benefit the further
development of BioNorthTX $
On behalf of my organization, I hereby apply for membership in BioNorthTX and to pay all membership dues promptly at
renewal. I will also ensure that other individuals at my organization are aware of the benefits of membership. If I am to
leave my organization, I will notify BioNorthTX of my replacement as Member Representative.
Please return this form with a check payable to BioNorthTX, 1400 Civic Place, Suite 221, Southlake, Texas, 76092. Or, you
may request an electronic invoice for payment by Credit Card or PayPal.
Send electronic invoice
Check enclosed in the amount of $
BioNorthTX is designated as a 501(c)(6) trade association. Membership dues may constitute a business expense but are not a
charitable deduction at this time.
After nearly 20 years as a CPA specializing in international tax with Andersen, Darlene co-founded a pharmaceutical manufacturing company with her father and brother. Her father died soon after the company was founded and Darlene bought her brother’s half of the company and became the CEO, leading the company to tremendous growth. She was named the only American on the list of the nine Leading Women Entrepreneurs of the World in 2004 and was on the Inc 500 list for three years in a row. Following her sale of the company in 2006, she became Executive Director of TechFW, a technology business incubator in Fort Worth, establishing multiple programs for entrepreneurs, universities and angel investors, including the Cowtown Angels Network. She has coached dozens of local startup companies. Darlene has served on the national boards of the Association for Frontotemporal Degeneration, the International Business Innovation Association, and DePauw University, as well as several local boards, including Junior Achievement, Girl Scouts, and the American Heart Association. Since stepping down as the Executive Director of TechFW in November 2018, Darlene has continued her work with entrepreneurs: coaching TechFW clients, investing as a member of the Cowtown Angels, joining the management team of BioNorth TX, and working with VIC Technology Venture Development to commercialize university technologies. She holds a BA in math and German from DePauw University, an MBA from the University of Chicago Booth School of Business, and a graduate certificate in genealogical research from Boston University.
Jorge Varela’s is an entrepreneur, startup evangelist, international speaker, consultant, and investor. He has started and/or been a part of the executive team at numerous companies most notably in telecom, software, and IT, with financially successful exits in each market segment. He has mentored and coached startups in the life sciences with exits in the last 5 years exceeding $3 Billion.
Jorge is CEO, of BioNorthTexas, the nonprofit that represents, connects, and promotes the life sciences and healthcare industries in North Texas. He is also Managing Director of AltusVista, a consultancy that works with leadership to build better companies, non-profits and executives.
Jorge was most recently Founder and CEO of VelocityTX, an innovation superhub offering incubation, mentorships, and seed investments to startups with disruptive technology. VelocityTX is a wholly-owned subsidiary of the Texas Research & Technology Foundation (TRTF) where Jorge served as Executive Vice President of Innovation & Investments and managed the McDermott Legacy Fund. TRTF is a non-profit dedicated to economic development through investments both in early stage companies and in the entrepreneurial ecosystem with a focus on biosciences, medtech, & technology – especially cyber security.
Jorge is on the Executive Board of the Alliance of Texas Angel Networks, an organization consisting of accredited angel groups in Texas. He is also a reviewer for the National Science Foundation on SBIR/STTR grants.
Jorge’s passion is working with leadership to develop and grow for- and non- profit organizations to enable:
• financial independence and the creation of economic opportunities globally; and,
• to improve the quality of life through the commercialization of new technologies.