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Straus Institute for Dispute Resolution

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Mediating the Litigated Caseā„¢

Irvine and West Los Angeles, California

January 24-26 and February 7-9, 2013

Registration Form
Name
Name on Nametag
Business or Firm Name
Business Address
City
State
Zip
Phone
Fax
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I'd like to attend the conference in:

Irvine West Los Angeles
I Request a Vegetarian Lunch:

Tuition for Mediating the Litigated Case is $2,195 - a non-refundable deposit of $200 is required at registration. The governmental and non-profit rate is $1,495 - a non-refundable deposit of $200 is required at registration. Final payment is due Friday, December 21, 2012 to hold space. Tuition includes all materials, a continental breakfast, and lunch each day. Since enrollment is limited, participants should register early. Should a paid participant be unable to attend, tuition less the deposit, will be refunded or a substitute may attend the program.

PLEASE NOTE: There is a $50 administrative fee for transferring to another program. When canceling, we require 72 hours of notice prior to the program start date or there will be an additional $50 food service fee deducted.

Payment
I will by paying by check in the amount of
Please contact me for credit card information (Visa and MasterCard only) in the amount of
Name of governmental or non-profit organization

Please make check payable to Pepperdine University and send to:
Straus Institute for Dispute Resolution
Pepperdine School of Law
24255 Pacific Coast Highway
Malibu, CA 90263