Application Details

Contact Details

Request Received
Umbrella Membership
This is a 12-month membership
This membership includes Unlimited member slot(s)

Complimentary membership for companies who fall under one of the Umbrella Memberships

Membership Refund Policy

Where the Membership fees are unpaid, OBN (UK) Ltd reserves the right to charge the Member 100% of the value of any and all benefits received. If a Member Company resigns its membership during the 12 month period then no portion of the membership fee shall be refunded.

Glue Up account creation information.

Click here to upload a new image
Uploading an image is mandatory

Please enter a first name
If you input more than 0 characters your First Name may not display properly

Please enter a last name
If you input more than 0 characters your Last Name may not display properly


・8 characters minimum
・one upper case letter
・one lower case letter
・one number
・one special character (@$!%*?&)
If you input more than 0 characters your Password may not display properly


・8 characters minimum
・one upper case letter
・one lower case letter
・one number
・one special character (@$!%*?&)
If you input more than 0 characters your Confirm password (at least 8 characters) may not display properly

Please fill in your individual information.

Please fill in the below form with your company details.

Click here to upload a new image
Uploading an image is mandatory
Please enter a company name

If you input more than 0 characters your Address may not display properly

Please enter a valid phone number including country code
If you input more than 0 characters your Phone Number may not display properly

If you input more than 0 characters your City may not display properly

If you input more than 0 characters your Postal Code/Zip Code may not display properly

If you input more than 0 characters your Number of UK employees may not display properly

If you input more than 0 characters your Please list the company of the umbrella membership you are under: may not display properly
Test Group
Maximum limit reached (255 characters).

If you input more than 0 characters your Description of company activity may not display properly

If you input more than 0 characters your Tags for your areas of activity e.g. Oncology, MABS, solid tumours may not display properly

If you input more than 0 characters your Number of lab based Scientists may not display properly

If you input more than 0 characters your Company contact name for Membership may not display properly

If you input more than 0 characters your Lab Manager Contact Name may not display properly

If you input more than 0 characters your Lab Manager email may not display properly

If you input more than 0 characters your HR Manager Contact Name may not display properly

If you input more than 0 characters your VAT/TAX number may not display properly

Please enter a valid url
e.g. https://obn.glueup.com
If you input more than 0 characters your Website may not display properly

Please enter a valid LinkedIn link e.g. "https://www.linkedin.com/in/userid"
If you input more than 0 characters your LinkedIn Account (company page) may not display properly

Please enter a valid Twitter link e.g. "https://www.twitter.com/name"
If you input more than 0 characters your Twitter (company page) may not display properly

Consent

This checkbox is mandatory
This checkbox is mandatory
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