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County*
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Case Number
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Is this a court-ordered mediation?
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Who do you represent?
Select a side*
- Represents the Plaintiff
- Represents the Defense
Scheduling Attorney
Scheduling Attorney*
Firm Name
Representing*
Insurance Carrier*
Email*
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Additional CC
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Scheduling Attorney's Phone*
Opposing Counsel
Defense Attorney*
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Representing*
- Represents the Plaintiff
- Represents the Defense
Insurance Carrier
Plaintiff's Attorney*
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Representing*
- Represents the Plaintiff
- Represents the Defense
Representing*
Email*
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Additional CC
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Opposition Attorney's Phone

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Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Address*
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Agreements*
- By attending mediation, I agree to ADR On-Demand's Agreement to Mediate Online.
Agreements*
- This fee is non-refundable if canceled within 48 hours of the scheduled mediation.
Agreements*
- I understand the mediation will not exceed 3 hours.
Agreements*
- 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)
Promo Code
Companion Case Information
Virtual Mediation*
Price:
Virtual Mediation*
Price:
Book One Get One Promo
ADRVIPLOYALTY (20% OFF)*
Price:
You earned $150 savings toward your Mediation > Thank you being a loyal client of ADR On-Demand!
Fain*
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Companion Case
Price:
Companion Case
ADR Loyalty Promo (25% OFF)*
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Thank you for being an awesome client.
Virtual Mediation*
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Multi-party Companion Case
Virtual Mediation*
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