Client Information Request

Enter your information below and we will be happy to email you an informational packet.*
Would you like us to call you to discuss mediation, step you through the process, and answer all of your questions?
Please leave your number below:
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What is the best time of day to reach you?*
If we are unable to reach you at the above time, is an after hours call acceptable?
Up until what time in the evening on weekdays?
If all else fails, can we call you 9:00 - 11:00 a.m. on Saturday?
Email address where you wish to receive your information:*
How many children do you have? (so we can send you the correct information)*
Where did you hear about Carolina Divorce Mediators?*
If a therapist, attorney, or previous client referred you, may we ask who that was ?
Any other information you would like to share?