How to Attend

To attend these events, please TEL +1 734-995-0847 NOW to assure your seat and materials !!  (as of Sept. 20)

1.  Complete a Registration Form.  

Online Registration Form is provided below for your convenience; however, it is not secure for credit card protection.

Word Form or PDF Form is recommended whenever possible.

2.   Send the Registration Form.

Send Online Registration

E-MAIL:  registration AT qfdi DOT org

TEL:    +1 734-995-0847

FAX:    +1 206-203-0733 

Your registration will be acknowledged by email within 24 hours of receipt. This email will accompany a receipt confirmation or invoice in PDF format. For questions, please contact the QFD Institute, Tel: +1 734-995-0847.

Online Registration Form

1. Enter Attendee Information  

Your Name to be printed on Name Badge

Your Name to be printed on Certificate

Job Title

Company

Industry

Mailing Address  (street address, city, state/province, postal code, country)

E-mail Address

Work Phone

Alternative Phone or Email (Optional)

Special Diet / Needs, if any

2. Select Program(s) and Enter Your Total Fees

  Symposium Only   $475

The 16th International Symposium on QFD =  Sept 24–25

X   QFD Green Belt® Package    $1,945

QFD Green Belt®  +  Symposium

You will attend 4 Days =  Sept 22–25

  QFD Facilitator's Package     $6,895

QFD Green Belt®  +   Symposium  +  QFD Black Belt®

9 Days =  Sept 22–25 and Sept 27–Oct 1

  QFD Black Belt^® Package #1    $5,895

Symposium  +  QFD Green Belt® Update  +  QFD Black Belt®

7.5 Days =  Sept 24–Oct 1

  QFD Black Belt^® Package #2    $5,495

Symposium   +   QFD Black Belt®

7 Days =  Sept 24–25 and Sept 27–Oct 1

  QFD Black Belt^® Update Package    $1,325

Symposium   +   QFD Black Belt® Update

3 Days =  Sept 24–26

  QFD Green Belt^® Update Package   $1,045

QFD Green Belt® Update    +   Symposium

2.5 Days =  Sept 24–26

  Companion Meal Package   $200

Your companion's Lunch (Sept 24–25) and Reception (Sept 25)

Total Fees  US$       

3. Select Payment Method.  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

small 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

(For payment of $500 ore more. 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 a certificate of CEU Credits issued for the program(s) that I attended.

I would like an Official Letter of Invitation issued for visa application.

Notes to QFD Institute, if any