Confirm - ADR

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Credit Card

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Supported Credit Cards: American Express, Discover, MasterCard, Visa
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Address*
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Terms*
- By attending mediation, I agree to ADR On-Demand's Agreement to Mediate Online.
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- All mediation fees are due if canceled within 24 hours of the mediation, and a partial fee will be assessed if rescheduled within 24 hours.
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- I understand the mediation will not exceed 3 hours.
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Untitled*
- I acknowledge that this mediation will be cancelled if payment is not received at least 48 hours before the scheduled mediation (notification will be sent only in the event of cancellation)
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discount
Companion Case Style
3-Hour Virtual Mediation Fee
Price:
3-Hour Virtual Mediation Fee
Price:
3-Hour Virtual Mediation Fee
Price:
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Total
$0.00
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entry Id*
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Mediator*
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Email*
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Notes
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Video Conference Link
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Case Metrics
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Number of Hours*
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Settled or Impasse*
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Last settlement offer
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Settlement Amount
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Medical Bills
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Lost Wages
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Property Damage
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Special Notes
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