Referral Form

Please add information to complete your referral

Company

Phone

Solicitors name

Solicitors Email

Secretary's name

Secretary's Email

Type of matter? Select all that apply

Children/Parenting

Property

Workplace

Wills & Estate

Neighbourhood

Commercial

Other

Brief details - if required

What stage is this matter at? Pre-application? Dispute Resolution?

Clients name

Client's Email

Client's phone

Other's Party's Name

Details of other party - phone, email, solicitor details, any other relevant information?

If known, what mode of mediation would you prefer? Select all applicable options;

Face to Face

Zoom (Online)

Joint

Shuttle

Other or to be decided

Urgency - date required by or proposed dates?

Any other information?

Are you looking for weekend availability?

Thanks for submitting!

Referral Form: Sales Lead

ETC

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