To speak with someone about mediation or PCM membership, call (610) 526-1802 (Phoebe Sheftel) © Pennsylvania Council of Mediators Thank you for visiting our site.	Payment by Check Please fill out this form on-screen and print a copy. USE GRAYSCALE SETTING TO SHOW CHECKED BOXES WHEN PRINTING. Mail completed form, with your check made out to "PCM", to: PCM c/o Phoebe Sheftel 414 Barclay Rd. Rosemont, PA 19010 Step 1: Select Membership Category Membership Category and Fees Individual/Professional     $60 Receive financial compensation for mediation services. Organizational/Group     $60 Entitles organization to one member rate conference registration. Volunteer     $35 I do not receive financial compensation for services. Student     $35 Include copy of proof of status with form to qualify. OMIT Listing on PCM's site     FREE All members are listed in the public Locate A Mediator searchable section of the PCM web site. Please check here if you want your name OMMITTED from this listing and only want it included in the members-only accessible directory Step 2: Please provide the following information (required fields in red.) First Name: Last Name: Email: Address1: Address2: City/State/Zip <Choose> AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AA AE AP AS PR FM GU MH MP PW VI Organization: Designated Represenative: Work Phone: Home Phone: Website Address: Employed as Mediator by: Volunteer as Mediator with: Primary County You Work in: ...Select a County Adams Allegheny Armstrong Beaver Bedford Berks Blair Bradford Bucks Butler Cambria Cameron Carbon Centre Chester Clarion Clearfield Clinton Columbia Crawford Cumberland Dauphin Delaware Elk Erie Fayette Forest Franklin Fulton Greene Huntingdon Indiana Jefferson Juniata Lackawanna Lancaster Lawrence Lebanon Lehigh Luzerne Lycoming McKean Mercer Mifflin Monroe Montgomery Montour Northampton Northumberland Perry Philadelphia Pike Potter Schuylkill Snyder Somerset Sullivan Susquehanna Tioga Union Venango Warren Washington Wayne Westmoreland Wyoming York The Primary Region(s) of Pennsylvania You Work in: (see Regions Map for definitions) PA Statewide     Northwest     North Central     Northeast Outside PA Southwest South Central PA Southeast PA Areas Of Mediation Practice: (check all that apply) AIDS Heirs Behavioral Insurance Business Intercultural Charitable Foundations International Civil Rights Labor/Management Community Landlord/Tenant Conflict Coaching Medical Malpractice Construction Mental Health Consumer Non-Profit Organizations Co-parenting Orphans Deaf Community Personal Injury Disability Probate Domestic Violence Public Policy Elder Issues Public Utilities Employment Real Estate Environment Religious Estates Right of Way Executive Coaching Schools Family Business Securities Family/Divorce/Custody Small Claims Farm Credit Special Education Gang Training Groups/Organizations Victim-Offender Health Care Workers' Compensation OTHER (please specify)         Our directory includes space for a brief description of your mediation involvement: (25 words max) Your interest in getting involved with PCM: