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Henning Mediation & Arbitration Service, Inc. 

  Training Registration Form 








  
  
  
  
  

  
  
  
  
  
  

    

      
Please complete the registration form below. Any information you provide will be used solely for the purpose of fulfilling your registration. Please see our Privacy Policy. 

    

    

      
*Full Name

      
    

    

      
Title

      
    

    

      
Bar#

      
        (required for CLE credits)
    

    

      
Company/Firm

      
    

    

      
*Address1

      
    

    

      
Suite or Apt

      
    

    

      
*City

      
    

    

      
*State

      
    

    

      
*Zip

      
    

    

      
*Phone

      
    

    

      
Fax

      
    

    

      
*Email

      
    

    

      
      * required fields
    

  

  

    

      
 Select *COURSE DATE and CLE Option 

    

    

      
Select Course

      
Select Dates

      
Tuition $

      
CLE

          Credit $

      
Obtain CLE Credit?

    

   
 
    

      
        
        Civil Mediation **
      
        
        
        
        
        
         
      
      
$945 

      
$150

      
      

          
        

    

    
 

   
 
    

      Mediation Practicum
      
        
        
        
        
        
      
$350 

      
$60

      

          
        

    

    

    

      Arbitration **
      
        
        
        
        
        
      
$325 

      
$50

      

          
          

    

    

    

      
Divorce Mediation **

      
        
        
        
        
        
      
$1220 

      
$150

      

          
        

    

    

    

      
Divorce Practicum

      
        
        
        
        
        
      
$350 

      
$60

      

          
        

    

    

    

      
Building a Mediation Practice

      
        
        
        
        
        
      
$110 

      
$15

      

          
        

    

    
    

      
Building a Litigation Practice

      
        
        
        
        
        
      
$110 

      
$15

      

          
        

    

    
    

      
**Includes $25 Georgia Office of Dispute Resolution Training Fee

    

    

      
Total Fee  $
          
        

    

  

  

    

      
Registration is not complete until payment is processed.

    

    
 

    
 

    

      
Payment can be made with Visa, MasterCard or American Express.

        

          

            
*Card Type

            

                
              

          

          

            
*Cardholder Name

            

                
              

          

          

            
*Card Number

            

                
                
              

          

          

            
*Expires

            

                
                
              

          

          

            *Billing Zipcode
            

                
              

          

          

              
*Security Code:

            

                
                
              

        

        
*required fields

    

  

  

  

    

      
Additional Comments : 

        
Please add any comments or questions about your registration.

    

    

      

          
        

    

    

      These training courses have been approved for CLE credit in Georgia and by the Georgia Office of Dispute Resolution. The fact that a training program has been approved by the Georgia Office of Dispute Resolution does not imply that any particular court-annexed or court referred program must or will accept as neutrals those who have completed that program.
    

    

      Cancellation Policy: If notice of cancellation is given 10 days in advance of the scheduled training your payment will be refunded. No refund will be given for cancellations occurring within 10 days of the training, but you may reschedule to another training date at no additional charge, as long as you notify us no later than the day prior to the training date that you will be unable to attend. 
    

  

  
  

  

    
    
    
    
    
  





  

    
      

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