L. Martin Johnson, MBA, PsyD

PLEASE NOTE:

• COMPLETION OF THIS PAYMENT CONFIRMS THAT YOU HAVE READ, UNDERSTAND, AGREED TO AND SIGNED AN AGREEMENT TO MEDIATE WITH L. MARTIN JOHNSON

• PAYMENT IS NON REFUNDABLE

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PAYMENT OPTIONS ARE:

• YOU MAY PAY IN FULL AND WORK OUT PAYMENT SHARE WITH OTHER PARTY SEPARATELY

        OR

• YOU MAY PAY HALF AND HAVE OTHER PARTY PAY THE OTHER HALF
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