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. 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     $50 Receive financial compensation for mediation services. Organizational/Group     $50 Entitles organization to one member rate conference registration. Volunteer     $30 I do not receive financial compensation for services. Student     $30 Include copy of proof of status with form to qualify. Listing on PCM's site     $15 Annual fee in ADDITION to membership for inclusion in PCM's "Search for a Mediator" list. 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 Landlord-Tenant Business Personal Injury Community Public Policy Consumer Real Estate Elder Issues Religious Employment Schools Environment Securities Family/Divorce/Child Custody Small Claims Farm Credit Special Education Groups, Organizations Training Health Care Victim-Offender/Corrections Labor/Management Other... Our directory includes space for a brief description of your mediation involvement: (25 words max) Your interest in getting involved with PCM: