Partners in Mediation, Inc.

Register for training by mail.

 

If you would prefer to send a check or money order, payable to Partners in Mediation, Inc., for your course registration, please print, then legibly complete this form and mail to our administrative offices.

 

Our mailing address:  3705 Darwin Avenue                                Our training address:  10979 Reed Hartman Highway, Suite 206

                                        Cincinnati, Ohio 45211                              (unless noted)               Cincinnati, Ohio 45242 (Blue Ash area)

 

Our phone number:       513-651-1010                                             Our e-mail address:     mediators@fuse.net

 

Your Name:______________________________________           Your cell phone no.:_______________________________

 

Your Address:____________________________________            Your e-mail:______________________________________

 

                         ____________________________________

Role Play Refresher (8:30 to 12:30)

 

_____ Jan. 23 ($50 for PIM training participants/$75 for others)

 

_____ Aug. 27 ($50 for PIM training participants/$75 for others)

 

_____ Nov. 19 ($50 for PIM training participants/$75 for others)

 

Kentucky CME Day (9:00 to 11:00 and 1:30 to 3:30)

 

_____ June 17 AT CMC TURFWAY ($55 half day/$99 full day)