Featured Mediator Application

Please provide this information and we will establish one or more Featured Placements for you to consider.

Do you have an existing web site?
yes
no
If "yes," what is your web site location?
What state for your first Featured Placement?
What practice area for your first placement?
Would you like to purchase additional featured placements?
yes
no
If so, what additional states?
There is an additional charge for each placement.
**Second placement is discounted by $10/mo or $100/yr
Do you acknowledge this?
yes
no
Verification (to make sure you're human)

Enter the text you see in image (or refresh for new text)

Note: Please do not include any URLs in form.

 Note:  There is a separate charge for each state or practice area placement.  

  • Your first Featured Placement is $39/mo or $390/yr
  • Your second Featured Placement is $29/mo or $290/yr
  • Your third and additional Featured Placement are $19/mo or $190/yr

 If you order more than one placement it will not show in your total but will be confirmed upon activation.

You can direct any questions to admin@mediate.com 

Thanks very much!

The Mediate.com Team