To reserve your mediation session, please fill out the form below to get started. Name * First Name Last Name Email * Phone * (###) ### #### Preferred mediation date * MM DD YYYY In case your preferred date is unavailable, please indicate your preferred days? * Monday Tuesday Wednesday Thursday Friday Saturday What services are you interested in? * Morning (half day mediation) - 4 hours Morning (half day plus mediation) - 6 hours Afternoon (half day mediation) - 4 hours Afternoon (half day plus mediation) - 6 hours Full day mediation (must begin in morning) - 8 hours A la carte mediation (2 hours minimum) Other mediation needs (the office will contact you for additional information) Where would you like your mediation held? * At Meaningful Solutions LLC Virtual Zoom Have the mediator travel to me (additional fee applies) Please provide me with a location near me (additional fee applies) What type of dispute is your matter? * Civil Family Small Claims Other If this is an on-going lawsuit, please also provide the following information: cause no., county of court, court number. Otherwise, please put "n/a". * Please provide the names and email addresses of all parties and attorneys (if applicable) involved. * How did you hear about us? * Internet Search Personal Referral LawPoint Facebook Other Your inquiry has been received. Someone will contact you soon to set up your mediation. Thank you!