Party Information Form - Arbitration ICC Individual

1. Individual Party

Christian Conciliation utilizes the Holy Scriptures (the Bible) in its process as stated in the ICC Rules of. Procedure for Christian Conciliation (Rule 4). The information provided on this form will be used in accordance with ICC Rules, specifically Rules 16 and 17, for the purposes of Case Administration Conciliator selection. The Information will not be provided to other participants or to an arbitrator; a copy will be provided to the mediator if pursuing mediation or mediation/arbitration.

To complete this information online, please type your information into the fields below and complete all four sections of the form. At the end of the form, press the "Done" button.

If you prefer to complete this form on paper, you may download this form. Simply fill it out and mail the completed form to Ambassadors of Reconciliation, P.O. Box 81662, Billings, MT 59108-1662. Please call if you have any questions regarding this form: 844-447-2671.

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* 1. Your Contact Information:

Name *

Organization (Company)

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

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* 2. Cell Phone Number:

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* 3. Alternate Phone Phone:

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* 4. The ICC Case Administrator communicates most commonly via email. Please let us know your preferred form of contact, and/or email to use when contacting you.

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