Invitation Form – Other

Booking Contact Person
CONTACT NAME (& LAW FIRM if applicable)*
CONTACT PHONE:*
CONTACT EMAIL:*
Mediation Details
PREFERRED MEDIATION DATE:*
MM slash DD slash YYYY
Additional tentative mediation dates:
Has Party 2 agreed to participate on your preferred dates?*
- Yes
- No
If NO, who should invite Party 2 to mediate? (choose one only)*
- Party 1 will invite Party 2 and will keep Private Mediation updated.
- Private Mediation should invite Party 2, using Party 1’s preferred dates as above.
- Not applicable as Party 2 has agreed to attend
TYPE OF MEDIATION – provide a brief explanation of the issues in dispute*
Preferred mediation venue:*
- Zoom Video-conference
- Party 1 Lawyer’s Office
- Party 2 Lawyer’s Office
- Private Mediation to organise
Payment of Mediation Fees:*
- Shared equally
- Party 1
- Party 2
Party One Details
FULL NAME:*
Phone:
Email:
Address:
Street Address & Suburb City Post Code
LAWYER'S NAME: (Law firm & Acting lawyer)
Phone:
Email:
Party Two Details
FULL NAME:*
Phone:
Email:
Address:
Street Address & Suburb City Post Code
LAWYER'S NAME: (Law firm & Acting lawyer)
Phone:
Email:
ADDITIONAL PARTY DETAILS Please insert name, address, telephone and email address for any additional parties
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Booking Contact Person