Easy Online Form

Schedule a Mediation

There are several ways you can schedule a mediation with Max Weiss Mediation. 

Online

Party 1

Name/City, State 

Counsel Name

Counsel's Telephone Number (with area code) 

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Party 2

Name/City, State 

Counsel Name

Counsel's Telephone Number (with area code) 

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Party 3

Name/City, State 

Counsel Name

Counsel's Telephone Number (with area code) 

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Party 4

Name/City, State 

Counsel Name

Counsel's Telephone Number (with area code) 

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Complete case caption:

Briefly describe the case:

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How much time do you feel you'll need for the mediation?   Half Day (4 hours) Full Day (8 hours) Multi-Day (8+ hours) Insurance Mediation Day Other

What dates are available for scheduling the mediation?  

We will schedule the mediation at our office unless you request otherwise.  Where would you like the mediation to take place? 

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Additional Comments

What is your name and phone number?              

Send mail to settle-it@maxweissmediation.com with questions or comments about this web site.
Last modified: 03/08/10