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c/o the UK Mediation Academy
1st Floor New House, 67-68 Hatton Garden
London, EC1N 8JY
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Please complete the form below - please note that ALL fields are required. If a field is not applicable please just insert 'none' or 'not applicable'. Thank you.
Level of membership required
Corporate
Full
Affiliate
Your name
Your organisation
Are you an internal mediator or an external mediator or consultant?
Internal
External
Your role
Your full address
Your postcode
Your contact phone number
Your email address
Your website address
(if you have one)
Details of mediation training completed (including training provider)
Name of accrediting body
Date of qualification / accreditation.
Number of mediations completed in the last 12 months
Please note that sending this application form means that you agree with the terms and conditions of membership which are detailed on the PMA and TCM websites
.