Mediation - Helping to resolve conflict 



Helping resolve community disputes
in Elmbridge, Runnymede & Spelthorne

Mediation North Surrey
PO BOX 279, COBHAM, KT11 2JR
Telephone & Fax  0870 751 4311
Email  help@mediate.me.uk
Web  mediate.me.uk
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You can save this Microsoft Word document (Referral Form.doc) to disk by right-clicking on the link and 'save target as' to your PC.  Then complete the details and email it as an attachment

Or complete the form below:
Subject

Case reference (if you have one)

 E-mail address

Full name

Address

Are there times when you are unable to make meetings?  If so, please note them below


*
Daytime Phone number

Evening Phone number
Mobile Phone number
Can we leave messages for you?
Do you have cats or dogs?

Brief description of query or dispute (To contact your neighbour about mediation, we require their full contact details in order to write to them by name and follow up with a telephone call, so please include these details in your message below)

* As with all internet-based traffic, there is no guarantee of email delivery, so please call or email again if you do not hear back from us within a week
Your contact details will NOT be passed on to any other organisation for marketing purposes
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