GRADUATE – Advanced Mediation

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Advanced Mediation Price
Price:
Advanced Mediation Course Dates (Select One)*
- Coming Soon
Have you completed the pre-requisites for this course?*
- Yes
- No
You are required to have completed the Undergraduate Mediation course prior to your registration for Advanced Mediation. If you have not completed the pre-requisite, your application will not be processed.
Name*
First Last
Law Firm Name
Address*
Street Address Address Line 2 City State ZIP Code
Phone Number*
Email*
Have you had a recent change in mailing address and/or email address?*
- Yes
- No
Law Firm Website
Birthdate
MM slash DD slash YYYY

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Gender
Do you desire CLE credit?
- YES
- NO
Coupon
Total
$0.00
Keenan's Kids Foundation A 501(c)(3) Organization Celebrating 20 Years of Service www.keenanskidsfoundation.com 404-223-5437

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