AA White Dispute Resolution Center
Registration Form


Payment is due at the time of registration. You may remit by credit card or check. If paying by check, please make payable to U of H Law Foundation and mail to 4604 Calhoun Rd. Ste. 102, Houston, Texas 77204-6060 (attn. Judy Clark). If paying by credit card, please call the office at (713) 743-2066.

Training Methods of Payment
Check, Cash, Purchase Order Credit Card**
40 Hour Basic Mediation Training $1,285.00 $1,315.00
Commercial Arbitration Training $2,375.00 $2,425.00
Dispute Resolution Seminar $90.00 $95.00

** 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

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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