How To Register

2011 QFD Symposium & Training

 

  1. Please use one of these Registration Forms:

  1. Select the program(s) that you wish to attend.

  2. Send the completed form.

Use the "Submit" button for the online form.

Send the Word or PDF form by one of these methods:

  • E-mail:  registration AT qfdi DOT org

  • Fax:  +1 206-203-3575

  • Mail:  QFD Institute, 1140 Morehead Ct., Ann Arbor, MI 48103 USA

For questions, please contact us at Tel: +1 734-995-0847 (M-F 9 am - 5 pm US Eastern Time), Email to QFDI

Your registration will be acknowledged by email within 24 hours. This email will accompany a receipt confirmation or invoice in PDF format. 

  
 

2011 Online Registration Form

This online form is provided for your convenience; however, it is not secure for credit card protection. Whenever possible, we recommend you fax or e-mail a PDF or Word form.

 

1. Select the program that you wish to attend.

 

Program Selection

 You will attend

CEU

Credits

Registration Fees

Symposium Only

1 Day

Dec 3

1.0

 $395

QFD Green Belt® Package

3 Days

Dec 1–3

3.0

 $1,995

QFD Green Belt®

+ Symposium 

Facilitator's Package

8 Days

Dec 1–3

Dec 5–9

8.0

 

 $6,500

QFD Green Belt®

+ Symposium 

+ QFD Black Belt®   

QFD Black Belt® Package #1

6.5 Days

Dec 3–9

6.5

 $5,595

 Symposium

+ QFD Green Belt® Update 

+ QFD Black Belt®   

QFD Black Belt® Package #2

6 Days

Dec 3

Dec 5–9

6.0

 

 $5,195

Symposium 

+ QFD Black Belt®  

QFD Black Belt® Update Package

2 Days

Dec 3–4

2.0

 $1,395

Symposium 

+ QFD Black Belt® Update 

QFD Green Belt® Update Package

1.5 Days

Dec 3–4

1.5

 $995

Symposium 

+ QFD Green Belt® Update 

Reception Only
for your companion

who is not attending above program(s).

Dec 3

 Reception only

na

$20 per companion

(nominal cost)

person(s)

Discounts Offers    |    Registration Terms & Conditions

 

2. Attendee Information

 

Your Name to be printed on Name Badge

 

Your Name to be printed on Certificate

 

Job Title

 

Organization

 

Industry

 

Mailing Address  (street address, city, state/province, postal code, country)

 

E-mail Address

 

Work Phone

 

Alternative Phone or Email (Optional)

Special Diet / Special Needs, if any

  

3. Payment Information    Terms & Conditions

  I want to pay by Credit Card  (Visa, MasterCard, or Amex)

Total Fees to be charged  

US$  

Name on the Card

 

Card Number

 

Expiration Date   (month / year)

CVC Code  (red circle in the pictures)

   

VISA / MasterCard

3 digits on the back 

 CVC Code for VISA or MC (red circled 3 digits on the back)

American Express

4 digits on the front

CVC code for American Express (red circled 4 digits on the front)

Cardholder's Email Address

 

Billing Address of this card  (include Street Address, City, Postal Code)

 

  I want to pay by Check

You will receive an invoice email after submitting this form. Checks must be in US Dollars and drawn on a U.S bank.  Make the check Payable To: QFD Institute, 1140 Morehead Ct., Ann Arbor, MI 48103 USA

  I want to pay by Wire Transfer

For payment of $1500 or more. Wire Transfer Instructions and an invoice will be e-mailed to you upon receipt of this registration form.

4. Notes to QFD Institute, if any.

I would like a certificate of CEU Credits issued for the program(s) that I attended.

I would like an Official Letter of Invitation issued for visa application.

Notes to QFD Institute, if any 

 

 

          

 

 

 

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