Join the Pennsylvania Council of Mediators

Click here to print out membership form and pay by check.

Step 1: Understanding the two-step process

1. Complete payment through PayPal... *no PayPal account setup required!*

2. After the PayPal transaction is complete allow PayPal to return you to this site.*

*This second step in the membership application process gives us important information about your involvement and experience in mediation. Your responses will be part of your online listing in our Find A Mediator section.

Step 2: Select Membership Category

Membership Category and Fees

Individial / Professional
$70 (one year) $135 (two years) $200 (three years)

Includes a listing in the Find A Mediator section, unless you declined this feature on the membership information form.

Organizational/Group
$70 (one year) $135 (two years) $200 (three years)

Includes a listing in the Find A Mediator section, unless you declined this feature on the membership information form. Entitles the organization to one conference registration at the member's rate.

Volunteer
$35 (one year) $70 (two years) $105 (three years)

I do not receive financial compensation for services. Includes a listing in the Find A Mediator section, unless you declined this feature on the membership information form.

Step 3: Please provide the following information (all fields required except Address2)

First Name/Organization Name:

Last Name/Organizational Contact:

Email Address:

Address:

Address (2):

City:

State:

ZIP:

Join the Pennsylvania Council of Mediators

Part 1 (of 3) - Select Membership Category

Part 2 (of 3) - Please provide the following information (all fields required except Address2)

Part 3 (of 3) - PCM publishes a newsletter three times a year.
Please indicate which format you prefer to receive:

Join the Pennsylvania Council of Mediators

Step 1: Understanding the two-step process

Step 2: Select Membership Category

Step 3: Please provide the following information (all fields required except Address2)

Step 4: PCM publishes a newsletter three times a year. Please indicate which format you prefer to receive:

First Name (or Organization Name):
Last Name (or Organizational Contact):
Email Address:
Address:
Address (2):
City:
State:	ZIP:

Join the Pennsylvania Council of Mediators

Part 1 (of 3) - Select Membership Category

Part 2 (of 3) - Please provide the following information (all fields required except Address2)

Part 3 (of 3) - PCM publishes a newsletter three times a year.Please indicate which format you prefer to receive:

Join the Pennsylvania Council of Mediators

Step 1: Understanding the two-step process

Step 2: Select Membership Category

Step 3: Please provide the following information (all fields required except Address2)

Step 4: PCM publishes a newsletter three times a year. Please indicate which format you prefer to receive:

Part 3 (of 3) - PCM publishes a newsletter three times a year.
Please indicate which format you prefer to receive: