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director@athensmediation.org
Please provide us with the following information so that we assign you a mediator as promptly as possible.
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Your Name
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Your Mailing Address
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Your Phone Number
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Please describe the days and times you can be available for mediation.
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Name and contact info for other parties. (Please include at least an email or phone number for each of them.)
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Has the other party agreed to mediation
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Please write a brief description of the conflict you wish for us to mediate.
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My conflict involves:
(All fees are administered on a sliding scale. We do not turn away clients for inability to pay.)
Small Claims Court (no fee)
Domestic dispute (sliding scale)
Individual dispute--i.e., landlord/tenant, neighbors, relationships, workplace etc. (sliding scale)
My business or organization (sliding fee)
Ohio University (no fee if within contracted services)
Other:
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