Divorce Mediation Training Associates
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Training Registration

Please fill out and submit the following registration form. Instructions for completing your registration will appear on the next page.

Dates:
Location:

Quality Inn & Suites
440 Bedford St.
Lexington, MA 02420

Cost:

Total training cost is $1,850. You are registered ONLY when we receive your full payments. Please include payment with registration, and we must recieve your payment two weeks prior to start of training.

Cancellations made one month or more before the first day of training will be completely refunded. Later cancellations will only be refunded in full if your space is filled; otherwise, we will retain a cancellation fee of $200.

Make sure the name you used for your registration is indicated clearly on your check, along with the training dates you are registering for. If you have any questions, please contact Diane Neumann at 617-877-4543.

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113 Richdale Ave. #22 • Cambridge, MA 02140 • 617-877-4543
© 2011 Diane Neumann and John Fiske