Financial Issues Mediation Training Registration
Please complete the form. Upon submission you will be directed to Paypal for payment
Full Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Area Code
Phone Number
E-mail
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Please describe what mediation training you have had.
We expect this training to be approved for 7 CLE credits. Lunch is on your own. Do you prefer a 1/2 hour lunch ending at 3:30 p.m. or a 1 hour lunch ending at 4:00 p.m?
Length of Lunch
1/2 hour lunch ending program at 3:30 p.m.
1 hour lunch ending program at 4:00 p.m.
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Registration Fee
$
250.00
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