| |
How To Attend
2012 QFD Symposium &
Training
-
Please use one of these Registration Forms:
-
Select the program(s) that you wish to
attend.
-
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.
|
|
| |
2012 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 |
Registration Fees |
|
When you register BEFORE August 31 |
When you register AFTER August 31 |
|
Symposium Only |
1 Day
November 2 |
$295 |
$345 |
|
QFD Green Belt®
Package
|
3 Days
Oct 31 – Nov 2 |
$1,995 |
$2,045 |
|
QFD
Green Belt®
+
Symposium
|
|
Facilitator's
Package |
8 Days
Oct 31 – Nov 2
&
Nov 5 – Nov 9
|
$6,600 |
$6,800 |
|
QFD
Green Belt®
+
Symposium
+
QFD
Black Belt®
|
|
QFD Black Belt®
Package #1
|
6.5 Days
Nov 2
&
Nov 4– Nov 9 |
$5,445 |
$5,595 |
|
Symposium
+
QFD Green Belt® Update
+
QFD
Black Belt® |
|
QFD Black Belt®
Package #2
|
6 Days
Nov 2
&
Nov 5 –
Nov 9 |
$4,950 |
$5,100 |
|
Symposium
+
QFD
Black Belt®
|
|
QFD Black Belt®
Update Package |
2 Days
Nov 2 – Nov 3 |
$1,345 |
$1,395 |
|
Symposium
+
QFD Black Belt® Update
|
|
QFD Green Belt®
Update Package |
1.5 Days
Nov 2
&
Nov 4
(half-day) |
$845 |
$895 |
|
Symposium
+
QFD Green Belt® Update
|
|
Reception Only
for
your companion
who is
not attending above program(s)
|
Nov 2
Reception only |
$20 per companion (nominal cost)
person(s) |
All prices are in US$.
Registration Terms & Conditions explains the prerequisites
for QFD courses, what are included in your registration fees,
discounts, cancellation policy, late registrations, etc.
American
Citizens:
For those who wish to vote before travel, here is the
Absentee Ballot information:
http://www.longdistancevoter.org/absentee_ballots
|
|
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
 |
American Express
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 an Official Letter of Invitation
issued for a U.S. visa application, upon completion of my registration
process.
Notes to QFD Institute, if any
|
|
|
|