RUGBY Offices

Private Client Department, Address: 16 Church Street, RUGBY, CV21 3PW, Telephone: + 44 (0) 1788 579 579, Fax: +44 (0) 1788 570 949

Conveyancing Department, Address: 26 Regent Street, RUGBY, CV21 2PS, Telephone: + 44 (0) 1788 551 611, Fax: + 44 (0) 1788 551 597

Commercial/ Wills, Trusts & Probate Departments, Address: The Robbins Building, 25 Albert Street, RUGBY, CV21 2SD, Telephone: + 44 (0) 1788 579 579, Fax: + 44 (0) 1788 552 888

LONDON Offices

2nd Floor Berkeley Square House, Berkeley Square, London, W1J 6BD, Telephone enquiries: +44 (0) 2078876590, Fax number: +44 (0) 207 8876001

BANBURY Offices

Strathmore House, Waterperry Court, Middleton Road, BANBURY, OX16 4QD, General Telephone enquires: + 44 (0) 1295 270999

Mediation Instruction Form

If you would like to learn more about the mediation services we offer, please contact Shaun Jardine on 01295 270999 for a discussion without obligation or charge.
     
Title  
First Name  
Surname  
Address  
Phone  
Email
Your Solicitors Details (if a solicitor has been instructed)  
 

Your Opponents Details
Name  
Address  
Phone  
Your Opponent's solicitor details (if known)  
 
Have you discussed Mediation with your Opponent?  
Has your Opponent consented to Brethertons acting as Mediators?  
Would you like us to contact your Opponent to see whether they are prepared to consider Mediation?  
Have Court proceedings been issued?  
If yes, at what stage are they?  
Are there any time limits in which the Mediation must be carried out?  
Briefly give an indication of what the dispute is about: