Subscribe to MIMS

Currently, Truce is not accepting any additional subscriptions to MIMS.  Please contact us for more information. 

To subscribe for MIMS, fill out the form below to setup a Truce™ account.  Within 1 business day you will receive an e-mail confirmation from Truce™ with instructions on how to login and get started.  If a red * appears, it means that the field is required.

If you plan to have 10 or more MIMS users, please contact Truce™  first.

Mediation Firm Information
Mediator / Firm Name
Address 1
Address 2
City
State	-- Select One -- Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virgnia Wyoming
Zipcode
# of Mediators	-- Select One -- one user 2-4 users 5-10 users more than 10 users 1 user 2 - 4 users 5 - 10 users More than 10 users
# of Mediations	-- Select One -- 15 or less per month 30 or less per month More than 30
Default Settings (can be changed later)
Mediator Hourly rate
Mediator Per Diem Rate
Mediator % Take	%
Admin.  Fee per Party
Primary Contact Information
First Name
Last Name
Telephone
Fax
E-mail
Website
Tax-ID (optional) (used in Doc. Generation)
Referred by	-- Select One -- Advertising Castagna Mediation Direct Mail Email Event Friend/Co-Worker Golden Media Internet Search Online Advertisement Other Partner Press/Article Telemarketing Web Seminar
Comments
Click here for complete pricing guide Number of Users Monthly Charges* -- # Users -- 1 User 2 to 4 Users 5 to 10 Users $0.00 Credit Card Number (MC or VISA): Expiration Date: Month 1 2 3 4 5 6 7 8 9 10 11 12 Year 2004 2005 2006 2007 2008 * Rates subject to change
Click here to read the Master Subscription Agreement
	Click here to accept the agreement
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