MMPS Client Registration and Payment Form

Full Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

E-mail*

example@example.com

How did you hear about us?*

Name of organisation you are filing a complaint against*

Name of person(s) involved in dispute or complaint*

Phone Number of organisation / person you are filing a complaint against*

Please enter a valid phone number.

Email of organisation / person you are filing a complaint against*

example@example.com

Please describe the incident / dispute in as much details as possible, including dates, times and person(s) involved. *

Please upload any relevant documents in relation to this matter

How would you like to see this matter resolved?*

Do you have a preferred day and time to be contacted? If so, please specify here

My Products

Urgent Advocacy (same day service) Product Image

Urgent Advocacy (same day service)Service fees are $275 including GST. If you would like to speak to one of our friendly and professional Advocates, for an URGENT (same day) service, we are here to help. Business owners, employees, consumers and the general public are welcome to reach out for our advocacy opinion & assistance.

$275.00AUD

Consumer AdvocacyService fees are $275 including GST. Measured Mediation & Professional Services are a nationwide organisation, who represent thousands of consumers victimized by fraudulent, abusive, discriminatory and predatory business practices. We are committed to advancing the cause of just treatment and ethical representation for consumers.

$275.00AUD

Consumer Advocacy and Mediation Product Image

Consumer Advocacy and MediationService fees are $699 including GST. If you require consumer advocacy and mediation is also necessary to resolve the matter in dispute, this option is for you. Measured Mediation & Professional Services focuses on supporting all parties in reaching an agreeable solution with minimal damage.

$699.00AUD

Human Rights Commission or Other Relevant Tribunal / Commission Representation Product Image

Human Rights Commission or Other Relevant Tribunal / Commission RepresentationService fees are $660 including GST. These commission's are independent third parties which investigates complaints about discrimination and human rights breaches. It does not act as an advocate or legal representative for a party to a complaint. This is where Measured Mediation & Professional Services step in, to represent you and fight for your rights and resolve the matter with the best possible outcome.

$660.00AUD

Employment AdvocacyService fees are $550 including GST. You may have concerns about workplace, health and safety; unfair treatment or favouritism; sexual harassment; bullying; or not being afforded your entitlements and we can help with these issues. Sometimes all that is required is a well-crafted letter from a professional to sort out these employment issues.

$550.00AUD

Patient AdvocacyService fees are $5500 including GST. Patient Advocates are simply people who care about patients as fellow human beings enough to act on that care. Our services include but are not limited to medical examination and evidence collection, religious and cultural issues related to medical procedures, evidence collection, providing support and crisis intervention.

$5,500.00AUD Quantity

Total

$0.00AUD

Measured Mediation and Professional Services only use bank transfer for payment method. This helps to protect your credit card information online.

Name: MMPS

BSB: 814282

ACC: 51499116

I First Name* Last Name* of Street Address* Address Line 2* City* State* Zip* understand and agree that I am paying for Advocacy Services with Measured Mediation and Professional Services. In using the Website, the Services or when making any payment in relation to my use of the Services, I warrant that I have read, understood and agree to be bound by the Measured Mediation and Professional Services terms and conditions which are available on their website.

Refund Policy: A refund of the service fees will only be provided if:
You cancel in writing to Measured Mediation and Professional Services, via email at info@measuredmediation.com.au within 48 hours of completing your client registration form and Service Fees and neither parties have had their first intake session. A cancellation fee of $499 applies or;
If the Services have been cancelled by us and not rescheduled and neither parties have had their first intake session. No cancellation fee applies.

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