AGREEMENT TO REFER DISPUTE TO ONE ARBITRATOR (SHORT FORM)

AGREEMENT TO REFER DISPUTE TO ONE ARBITRATOR (SHORT FORM)

AGREEMENT TO REFER DISPUTE TO ONE ARBITRATOR (SHORT FORM)

AGREEMENT TO REFER DISPUTE TO ONE ARBITRATOR (SHORT FORM)

THIS AGREEMENT made on theday ofBETWEEN ..And.
We, the above-mentioned parties refer the following dispute to the adjudication of ..as sole arbitrator.
Dispute

1. .
2. .. Dated
   (Sd)