1. Attendee Information

Your Name

This name will be printed on your certificate.

Please type full name accurately.

Job Title

Company

Industry

Street Address

Street Address (cont.)

City

State/Province

Postal Code

Country

Work Phone

E-mail

Vegetarian or other dietary or barrier free needs if any.

2. Your Total Fee

The fee for this course is US$1,995 per attendee.

The fee includes your course material, Modern QFD templates / case studies on a CD, plus lunch, and coffee breaks.  (A US$100 per person discount may be applied for registrations of 3 or more people from the same company.)

Your total fee:   US$  

3. Select Payment Method    Registration Terms & Conditions

  Credit Card  (Visa, MasterCard, Amex)

Card Number

Cardholder's Name

Expiration Date

CVC code

(See the pictures here)

VISA / MasterCard

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

I agree to the credit card charge by the QFD Institute of the amount typed above.

Payment by Check  (See the Terms & Conditions)

Payment by Wire Transfer  (See the Terms & Conditions)

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TERMS & CONDITIONS

Cancellations After Registration & Substitutions:  Full refund or credit will be given when cancellation is notified in writing by a pre-paid attendee by 5 pm February 01, 2011 (US Eastern Time).  No refund will be made after that. However, substitutions are permitted without penalty.

Payment by Check: Checks must be in US$ drawn on a US bank. The check must arrive by February 14, 2012, unless other arrangements are made with the QFD Institute in advance. Registration will be confirmed upon receipt of full payment check. CHECK PAYABLE TO: QFD Institute, 1140 Morehead Ct., Ann Arbor, MI 48103

Payment by Wire Transfer: Wire transfer instructions will be e-mailed to you upon receipt of your registration form. The transferred funds must arrive by February 14, 2012. 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 January 31, 2012 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 company check.) No refund will be made after that; however, substitutions are permitted without penalty.

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.

Late Registrations & Cut-off Date: Registrations received after February 24, 2012 may be subject to a 20% late registration surcharge due to the extra costs in material preparation. Registrations may close subject to seat availability or at noon February 26, 2012, whichever comes first. All deadlines are by U.S. Eastern Time.

Start and End Time: This course will be held from 8:00 AM to 4:00 PM on both course days. Please plan on full days on both days and schedule your travel accordingly. 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.

QFD Institute reserves the right to refuse sales of any product or service to anyone or any organization. The QFD Institute products and services are available only where legally permitted. Registrations with untrue, inaccurate, or incomplete information may not be processed; fraudulent use of credit card will be reported to authorities. Registrations with overseas P.O. box addresses and free domain email addresses may not be accepted.