Reserve My Seat. I will send a check.

To reserve your seat for a course, fill out the form below and mail your payment to:MEDIATION, INC.

P.O. Box 16205

Chapel Hill, NC 27516

Registration Form
Desired Course                                                         
Course Dates *
First Name *
Last Name *
Attendee (if different than above)
Attendee Email *
NC Bar Number
Business Phone
Business Address *
City, State, Zip *
Dietary Restrictions
How did you hear about this course? *
Please select one:
I will send my payment in the form of a check.
Please reserve my seat. Contact me to discuss payment arrangements.