South Bay Association of REALTORS® Mediation Request


The undersigned party to an agreement, if any contained in a written contract, dated below providing for mediation, hereby consent to mediation under said agreement. *


It is understood and agreed that the mediation will be held at the Administrative Office of the South Bay Association of REALTORS®, located at the address below, pursuant to the mediation rules of the Association. A signed copy of the Consent to Mediation and the Mediation Rules and Confidentiality Agreement is necessary to schedule your mediation.


Requesting Party's Contact Information:

Date of Signature:

Representative of Requesting Party (Requesting Party’s Attorney or REALTOR®):

Other Party’s Contact Information (Please include as much information as possible):
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