HDRA Membership Form

Membership is open to any person involved in mediation or interested in pursuing a career in mediation or alternative dispute resolution. There are three categories of membership:

  • Individual membership – $65 per year
  • Corporate membership – for businesses or nonprofits. Provides for 3 members – $160 per year. Additional members are $40 each.
  • Full-time college or university student pursuing a course of study in alternative dispute resolution – $25 per year.
  • Full-time dispute resolution volunteer or retired dispute resolution professional – $50 per year.

Submit your application for membership below:

  • HDRA Membership goes from June 1 to May 31. If you become a member after January 1 then your membership will go to May 31 the next year.
  • ROSTER INFORMATION
  • The information you register below will appear in the HDRA database and on the HDRA web site in the ‘Members Only’ section.
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Your Name (Required): *
Company Name:
Mailing Address (Required):
 *
City, State, Zip
 *
Phone
 *
Business Fax
Email
 *
Home Address
Home Phone Number
Occupation
 *
Type of Dispute Resolution
 *
Geographic Scope
College
College Degree

Post Graduate School

Degree
Current Kansas Supreme Court Approved ADR Professional (Please Choose)
ADR Professionals who live outside of Kansas, please list your ADR expertise:
Would you like to be included on the website referral list? (Free of charge)
 *
Additional Comments:
All the business information above will be placed on the HDRA Web Site ‘Members Only’ Section and will include your business information and contact phone number.
I will be paying by:
 *
HDRA's mailing Address:
P. O. Box 14971, Lenexa, KS 66285
I acknowledge that a "Personal PayPal Account" is not required to pay my HDRA dues online. After submitting your current information, you will have a chance to add all the membership dues to your shopping cart. When you click checkout, you will be taken to the PayPal system to process your credit card, please click on the grey box at the bottom that says "Pay with Debit or Credit Card".
 *
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