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Membership Renewal
First Name
Last Name
Has any of your contact information (name, email address, phone number, address, website) changed since your last application?
Yes
No
Has any information changed about your areas of mediation practice since your last application?
Yes
No
If you appear on the Directory of Mediators on the website, do you continue to maintain insurance for your mediation practice?
Yes
No
If you appear on the Directory of Mediators on the website, do you continue to take at least 5 hours per year of mediation/ADR continuing education?
Yes
No
Please select your membership category
Individual on or before 2/28/21: $85
Individual after 3/1/21: $100
Corporate/organizational: $200 (Allows up to four (4) participants at each Council educational function and one (1) membership vote)
Affiliate (volunteer mediator or mediation supporter): $25
Student: $10
Newly-trained mediator on second year of membership: $50
How would you like to pay your dues?
Paypal (STRONGLY preferred)
By check made payable to MCWP
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