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How To Attend
2013 Int'l QFD Symposium &
Training
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Please use one of these Registration Forms:
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Select the program(s) that you wish to
attend.
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Send the completed form.
For Online Registration, use the "Submit" button.
Send the
Word or
PDF form
by one of these methods:
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E-mail:
registration AT
qfdi
DOT
org
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Fax: +1 206-203-3575
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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.
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2013 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
July 1 |
When you register AFTER July
1 |
|
International Symposium |
2 Days
Sept
6 – 7 |
$400 |
$460 |
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QFD Green Belt®
Package
|
4 Days
Sept
4 – 7 |
$1,995 |
$2,045 |
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QFD
Green Belt®
+
Symposium
|
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Facilitator's
Package |
9 Days
Sept
4 – 7
&
Sept
9 – 13
|
$6,595 |
$6,695 |
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QFD
Green Belt®
+
Symposium
+
QFD
Black Belt®
|
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QFD Black Belt®
Package #1
*
|
7.5 Days
Sept
6 – 13 |
$5,395 |
$5,495 |
|
Symposium
+
QFD Green Belt® Update
+
QFD
Black Belt® |
|
QFD Black Belt®
Package #2
*
|
7 Days
Sept
6 – 7
&
Sept
9 – 13 |
$5,095 |
$5,195 |
|
Symposium
+
QFD
Black Belt®
|
|
QFD Black Belt®
Update Package
* |
3 Days
Sept
6 – 8 |
$1,345 |
$1,395 |
|
Symposium
+
QFD Black Belt® Update
|
|
QFD Green Belt®
Update Package
* |
2.5 Days
Sept
6 – 8 |
$945 |
$995 |
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Symposium
+
QFD Green Belt® Update
|
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Spouse/Companion Lunch &
Reception Only
For spouse or companion
not attending the symposium, to join you in Lunch on Sept 6–7 and
Reception on Sept 7.
See
Details...
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Lunch
Sept
6–7
Reception
Sept
7 |
$200 per person
Name(s)
|
All prices are in US$.
*
Prerequisites apply. Enrollment qualification will be verified
with the certificate record.
See
Registration Terms & Conditions
for
team discounts, cancellation policy, late registrations, what
are included, etc.
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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
(Optional)
I give permission to share My Name and E-mail
with other attendees and sponsors:
YES
NO |
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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)
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VISA / MasterCard
3 digits on the back
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American Express
4 digits on the
front
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Cardholder's
Email Address
Billing Address of this card (include Street Address, City, Postal Code)
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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 |
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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. |
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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
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NOTE: Some smart phones may try to
open an e-mail sending window after clicking the SUBMIT button. Please
simply ignore and close that window. Your Registration was sent when you hit
the Submit button.
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