Please only fill this form out if you do NOT wish to pay by credit card, and you WILL be submitting payment with more than 5 business days before your first scheduled class with us.

If you wish to pay by credit card, or with your chequing account, please go back and add your course(s) to the cart.

Please make all cheques payable to:

Mediation Services

302-1200 Portage Ave, Winnipeg, MB R3G 0T5

Payee Name *
Payee Name
Payee Phone Number *
Payee Phone Number
Attendee Name (If different from above)
Attendee Name (If different from above)
Attendee Phone Number ( (If different from above)
Attendee Phone Number ( (If different from above)
Eg. Introduction to Conflict Resolution: April 2-3
Eg. A cheque will be mailed/delivered by next week Tuesday. Please note that we require payment a minimum of 5 business days before your first scheduled class. If we are within that window already, please call: 1(204)925-3410
Eg. Manager at Mediation Services. A certain issue has come up that I wish to have better skills at dealing with.