The Center for Mediation in Law

REGISTRATION FORM-NEW YORK

Please check the program you wish to attend:


Mediation Intensive Training - December 3 - 7, 2008   ______


To obtain detailed information on program fees Click here
To reserve a space, fill out this form and return with a $350 deposit (check or money order) to:

The Center for Mediation in Law
Columbia University Station, Box 250555
New York, NY 10025

NAME : __________________________________________

Profession / Firm: ___________________________________________

ADDRESS :_______________________

SUITE/APT./NO.:____________

CITY :____________

STATE :____ ZIP :_________

PHONE :_____________ FAX : _____________

E-MAIL:____________________________________

AMOUNT ENCLOSED:______________

Circle your housing preference:

  • Shared
  • Private
  • Commuting



  • Where did you hear about us: __________________________________

    ____________________________________________________________________________________

    ____________________________________________________________________________________


    What is your professional background/interest in taking the training? _____________________________

    ____________________________________________________________________________________

    ____________________________________________________________________________________



    If an attorney, please indicate your area(s) of practice _____________________________________

    ____________________________________________________________________________________

    ____________________________________________________________________________________

    Registration Policy : Participants will be accepted upon receipt of registration form with deposit and preferences for attendance dates will be honored on a space-available basis. Please note that recent programs have filled fairly early.We will confirm your reservation via letter. Class sizes are limited to facilitate individual learning. Due to the interdependent nature of the learning, attendance at the entire program is necessary. If you will have to miss any part of the program, please register for a later program.

    Cancellation Policy: Two weeks or more prior to the program, your payment will be refunded minus a $250 administrative fee (which may be applied toward a future program). Less than two weeks prior to the program, the Center will retain 50% of the total cost of the program (part of which may be applied toward a future program). Further details available upon registration or request. For further information please call 212-501-4044 or e-mail us at mediationinlaw@aol.com



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