Request for Inquiry

GOT A PROBLEM?

WDANZ assists the public and web developers (WDANZ Members and otherwise) with mediation and dispute resolution. Please complete the following form and we'll be in contact with you shortly . . .

PERSONAL DETAILS
First Name: *
Surname: *
Mobile:	(Format: 021 123 4567)

COMPANY DETAILS
Company:
Primary Phone:	Ext: (Format: 09 123 4567)
Secondary Phone:	(Format: 09 123 4567)
Fax:	(Format: 09 123 4567)
Primary Email: *
Secondary Email: *
Website:
Street Address:
:
Street Post Code:
Postal Address:
:
Postal Post Code:
Town/City:
Country:

INQUIRY DETAILS
	I would like your opinion verbally - $50.00 incl GST, a fixed charge.
	I would like you to consider the issues and prepare a written report for me to take the matter further. (i.e. negotiation/discussion with the customer/web developer, or to a Disputes Tribunal or Court hearing) - $90.00 per hour incl GST.
	I would like to involve your mediation services - $160.00 per hour incl GST
Inquiry Summary: * Please write a maximum 150 word summary of the issue(s)
What are the key questions you would like addressed? Maximum 50 words
References Please enter any websites or online resources.
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