1. To avoid having a mediation date set that is inconvenient for you, please CROSS OFF (X) those dates that you are NOT available on the months listed below. You should leave as many days free as possible, but you MUST leave at least 8 days a month free. Mediation starts at 10:00 AM and is scheduled for four-hour sessions.
2.  

 

Month:_________________
SUN	MON	TUE	WED	THU	FRI	SAT
X						X
X						X
X						X
X						X
X						X

 

Month:_________________
SUN	MON	TUE	WED	THU	FRI	SAT
X						X
X						X
X						X
X						X
X						X

 

Month:_________________
SUN	MON	TUE	WED	THU	FRI	SAT
X						X
X						X
X						X
X						X
X						X

 

Please note that Sundays and Holidays and any other unavailable days have already been marked off (X).

Please return this form promptly to:

Chulak@MTCLaw.com>

 

Thank You.
Michael Chulak

 

Submitted By: ____________________________

Date: ___________________________________