Online Registration Form
April 2018 QFD in Michigan USA

Please use the Online Registration below or  Word form for the April 2018 QFD events.

For questions, please contact QFD Institute, Tel: +1 734-995-0847.

1. Attendee Information

Attendee Name


This name will be printed on your certificate. Please type full name accurately.

Job Title





Complete Address for your Receipt / Invoice


Work Phone




Vegetarian / Special Dietary needs, Barrier-free needs if any


2. Registration Fees

Please select your registration option:

QFD Green Belt®: $2,145
(April 12-13) 
 No prerequisites
QFD Black Belt® : $5,220
(April 16-20)
QFD Green Belt® + QFD Black Belt® : $6,995
(April 12-13 and April 16-20)
 No prerequisites
QFD Green Belt® UPDATE + QFD Black Belt® : $5,820
(April 15-20)

3. Select Payment Method      Registration Terms & Conditions

Pay by Credit Card  (Visa, MasterCard, Amex, Discover)

By providing the card information, you agree to the credit card charge by the QFD Institute for the course fee that you have selected.

Card Number

Cardholder's Name

Expiration Date (Month / Year)

CVC Code (see pictures below)


VISA / MC / Discover = The last 3 digits on the BACK 


American Express = 4 digits on the FRONT right

Cardholder's Email (if different from the attendee)

Billing Address of this card (including Postal Code)


Pay by Check  (See the Terms & Conditions)

Pay by Wire Transfer  (See the Terms & Conditions)







Payment by Check: Please make the check  PAYABLE TO: QFD Institute, 1140 Morehead Ct., Ann Arbor, MI 48103.   Checks must be in US$ drawn on a US bank, and arrive at least 2 weeks prior to the start of your course.

Payment by Wire Transfer: Wire transfer instructions will be e-mailed to you upon receipt of your registration. The transferred funds must arrive at least 2 weeks before the start of your course. The attendee pays all bank fees associated with wire transfer services; please instruct your purchasing department and bank to add applicable bank fees to your registration fees. Registration will be confirmed upon receipt of full payment.

Cancellations after Registration & Substitutions: Cancellations notified by March 1, 2018 will be refunded in full, minus a 10% card processing fee if a credit card was used for payment, or minus the applicable bank fees if transactions were made by wire transfer. (No processing fee if paid by a company check.) No refund will be made for cancellations notified after March 1, 2018; however, substitutions are permitted without penalty, subject to the course prerequisites.

Start and End Time: Please plan your travel accordingly. Please refer to the specific course brochure for the start and end time. Late arrival and early departure could jeopardize your receiving the certificate.

This course requires pre-registration and pre-payment. Registration will be confirmed upon receipt of full payment. No walk-ins will be accepted.

Course Cancellations by the QFD Institute: The QFD Institute will make every effort to keep the scheduled course dates. In the event of course cancellation by the QFD Institute, the QFDI's liability is specifically limited to refunding the applicable course and/or program fees and excludes any incidental or consequential damages.

QFD Institute reserves the right to refuse sales of any product or service to anyone or any organization. Registrations with untrue, inaccurate, or incomplete information may not be processed. Registrations with overseas P.O. box addresses may not be accepted.


Contact QFD Institute