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*Name *Title *Company *Address *City *State *Zipcode *Phone Fax *Email Mediation Date Requested Other Requests CONFLICT RESOLUTION SERVICES, INC. 4601 DTC Blvd., Ste. 1000 Denver, CO 80237 (303)- 355-2314 - Toll Free: 888-355-2314 - Fax- (303)-388-3420 AZ: (480) 314-1820 - Direct Dial- (303) - 359-1459 Offices in Denver, Colorado and Scottsdale, Arizona Case Management and Accounting Office - Atlanta, GA crs@crs-adr.com Website- www.crs-adr.com   Mediation Practices Business Class Action Employment and Civil Rights ERISAFamily Firm Disputes Health Care Insurance Legal Malpractice Medical Malpractice Personal Injury Products Liability Professional Liability Real Estate Securities Trusts and Estate Probate)