CMT Application

Enquiry form for arranging mediation and appointing a mediator

CD Direct is an independent dispute resolution service provider, accredited by the Dispute Settlement Accreditation Council of South Africa.

We work with all parties to a dispute providing support in an impartial manner, offering a mediation administration service and a panel of trained, accredited and neutral mediators.

We work on a strictly confidential basis and all information added below will be treated in the strictest confidence.

Please complete the form below so that we can contact you about your need for mediation and appropriate mediators to choose from.

1. Your name:

2. Your surname:

3. Your organisation name:

4. Your phone number:

5. Your email address:

5. Please indicate the type of dispute:

6. Other information:

7. Using your personal information:

We will keep your personal records on a confidential file and will from time to time send you information which we think you might find useful or which you have indicated you would like to receive. Should you not want to receive information from us please advise us accordingly by email to craig@conflictdynamics.co.za. We will not, under any circumstances, supply your personal information to a third party for marketing or any other purpose. You can review this policy here: https://www.conflictdynamics.co.za/Pages/Privacy

I agree to the above