Mediation Training Seminar Registration
3705 W. Darwin Avenue
Cincinnati, Ohio 45211
(513) 651-1010
mediators@fuse.net
Mediation Training Seminars Registration:
Registration Form
12 Hour Basic Mediation Training:Cost: $225.00
May 15 & 16, 2008
September 5 & 6, 2008
December 29 & 30, 2008
30 Hour Civil Mediation Training:Cost: $650
October 3, 4, 10 & 11, 2008
40 Hour Divorce and Family Mediation Training:Cost: $850
June 20, 21, 22,, 27 & 28, 2008
November 6, 7, 8, 14 & 15, 2008
Trauma Survivor Workshop :Cost: $140
July 18, 2008
Substance Abuse Education for Attorneys: Cost: $35.00
December 30, 2008
Name______________________________________________________
Profession__________________________________________________
Phone: H_______________________ W_________________________
Payment Information:
(Circle one) - Check Enclosed Visa MasterCard*Billing Address____________________________________________________
*If you will be using a credit card Please use the correct billing address for the card you are using.
City: _________________________________________________ State:_______
Zip Code :_______________________
Credit Card Number:_______________________________________________________________________________
Credit Card Expiration Date:_________________
Signature:________________________________________________________
Payment in full is required with registration.
Checks should be made payable to Partners in Mediation, Inc
Please print this page, fill out the form and mail with payment to:
Partners In Mediation, Inc.
3705 W. Darwin Avenue
Cincinnati, Ohio 45211
(513) 651-1010
fax: (513) 794-0230
What people say about us:
"Informative and energetic presenters.""Exciting speakers."
"Excellent speakers and wish this session had been longer."
"Presenters engaging and informative."
"Made time for questions, good pace, kept interest up."