Request MEND Mediation

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First Name*

Last Name*

Address*

City*

State*

ZIP Code*

Phone number where MEND representative can call you*

Time you are most likely to be available for a short call with MEND Intake Staff*

Email*

Why are you contacting MEND NYC?*

I am a resident with a quality of life concern about a nearby business

I am a business owner or operator or representative and I am seeking help with nearby residents' quality of life concerns

I am a business owner or operator or representative and I am seeking help with a dispute involving my landlord or with another business

Other

How did you first hear about MEND?

Are you a veteran of the Armed Services?

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