AA White Dispute Resolution Center
Registration Form


Payment is due in full 30 days prior to the first day of training. Upon submitting your application, you will receive a notification that your application has been processed

Training Methods of Payment
Check, Cash, Purchase Order Credit Card**
40 Hour Basic Mediation Training $1,285.00 $1,315.00
Commercial Arbitration Training $1,925.00 $1,975.00
Dispute Resolution Seminar $70.00 $75.00

** Service Fee is included in the cost figure

Application Information

(This form cannot be submitted or printed unless all the requested information has been entered.)

Program title

40-Hour Basic Mediation Training

30 Hour Advanced Family Mediation Training

Commercial Arbitration Training (Domestic and International)

Dispute Resolution Seminar

Program start date
Please check one Mr.  Ms.  Mrs.  Dr.
Last name
First Name
Mail address 1
Mail address 2
Bus Telephone (xxx-xxx-xxxx)
Bus Fax (xxx-xxx-xxxx)
Email address
Home Telephone (xxx-xxx-xxxx)

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