Registration Form: The Mediation Process, April 14-18 and October 27-31, 2008 to be conducted in Boulder, Colorado

You will be registered only after we receive your registration form and full payment of $1500.00. We will send confirmation of receipt to your email address.

Mail:                                     Fax:                                            Phone:

CDR Associates                    303-442-7442                             303-442-7367

100 Arapahoe Ave #12         (Credit Cards Only)                    (Credit Cards Only)

Boulder, CO 80302

Payment:

All payments must be made in U.S. dollars via check, credit card, or government purchase order.

Special Needs:

Please let us know if you have special needs that require class materials in a special format (such as Braille or large print) or other accommodations at least three weeks before the seminar begins.

Cancellation:

If you cancel up to 30 business days prior to the program, we will refund tuition, less a $150 processing fee. Cancellations made 30 or fewer business days prior to the beginning of a seminar will be subject to a 50% cancellation fee. CDR reserves the right to cancel any program at any time. Full tuition refunds will be made for CDR cancelled programs. CDR is not responsible for non-refundable travel and lodging arrangements.

NAME:                 

PROFESSION/OCCUPATION:                                                                                                                                         

COMPANY: 

ADDRESS:

CITY/STATE/ZIP/COUNTRY

PHONE#: DAYTIME:                                                                         EVENING:

FAX #:                                                                                  E-MAIL:

Contact information will be shared only with other participants in your seminar, unless otherwise requested.

METHOD OF PAYMENT:

I am enclosing the full tuition of $1500.00 for the Mediation Skills training:

Check Payable to CDR Associates ($US) Check #                           Amount $                                

OR    Please charge the full tuition (amount $                       ) to my credit card:

          ? Mastercard     ? Visa    ? American Express

Card #                                                                                                                                             Expiration date:

Name on card:

Signature:                                                                                                                                                  

OR    ? Government Purchase Order #                                                      for full tuition is attached.

PLEASE CHOOSE WHICH COURSE YOU WOULD LIKE TO ATTEND:

          ? April 14-18, 2008

          ? October 27-31, 2008