Mediation Sign-Up
Please provide us with the following information so that we assign you a mediator as promptly as possible.
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Email *
Your Name
Your Mailing Address
Your Phone Number
Please describe the days and times you can be available for mediation.
Name and contact info for other parties. (Please include at least an email or phone number for each of them.)
Has the other party agreed to mediation *
Please write a brief description of the conflict you wish for us to mediate.
My conflict involves:
(All fees are administered on a sliding scale. We do not turn away clients for inability to pay.)
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