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

• US$1,995 per attendee, when registration is completed on or before 31 July 2011

• US$2,145 per attendee, when registration is completed after 31 July 2011

The above fees include your course material, Modern QFD templates / case studies, plus lunch, and coffee breaks. 

Team Discount: A US$100 per person discount may be applied for registrations of 3 or more people from the same company submitted at the same time.

Early-Bird Special Offer: Apply an additional US$100 discount in your registration fee when you register by 30 June 2011. (one offer  per person)

Your total fee is:   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 Street Address and Postal Code

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

Payment by Check  (Checks must be in US Dollars, drawn on a US bank. The check must arrive by 31 August 2011, unless other arrangements are made with the QFD Institute in advance. Registration will be confirmed upon receipt of full payment check.)

Payment by Wire Transfer  (Wire transfer instructions will be e-mailed to you upon receipt of your registration. The transferred funds must arrive 31 August 2011. The attendee pays all bank service fees; 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.)

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 01 August 2011 (German local Time).  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.

Registration Deadline: Registration for this course will close at 4 pm on 15th September 2011 (German local time). This course requires pre-registration and pre-payment by this deadline. No walk-in registrations will be accepted.

Start and End Time: This course will be held from 9:00 AM to 5:00 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.

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. Registrations with overseas P.O. box addresses and free domain email addresses may not be accepted.