Impact Dakota - Lean Six Sigma

Event ID

Lean Six Sigma - Black Belt Training 01/15/2025

Number of Participants^*

ADD-ON Kaizen ($3,450)^*

YES

Optional On-Site Two-Day Kaizens are per company not per person. ($4,600 value)

Company Information

Company Name^*

Address^*

City^*

State^*

Zip Code^*

Attendee

First Name^*

Last Name^*

Title^*

Email Address^*

Phone^*

PLEASE INDICATE IF YOU WILL BE COMPLETING THE OPTIONAL BLACK BELT II PROJECT!
OPTIONAL: Black Belt II Project ($200)^*

YES, I will be doing a Black Belt II Project

NO, I will not be doing a Black Belt II Project

Do you have any dietary restrictions? If so, please specify.

Yes

Attendee 2

First Name

Last Name

Title

Email Address

Phone

PLEASE INDICATE IF YOU WILL BE COMPLETING THE OPTIONAL BLACK BELT II PROJECT!

OPTIONAL: Black Belt II Project ($200)

YES, I will be doing a Black Belt II Project

NO, I will not be doing a Black Belt II Project

Do you have any dietary restrictions? If so, please specify.

Subscribe to e-newsletter

Yes

Attendee 3

First Name

Last Name

Title

Email Address

Phone

PLEASE INDICATE IF YOU WILL BE COMPLETING THE OPTIONAL BLACK BELT II PROJECT!

OPTIONAL: Black Belt II Project ($200)

YES, I will be doing a Black Belt II Project

NO, I will not be doing a Black Belt II Project

Do you have any dietary restrictions? If so, please specify.

Subscribe to e-newsletter

Yes

Attendee 4

First Name

Last Name

Title

Email Address

Phone

PLEASE INDICATE IF YOU WILL BE COMPLETING THE OPTIONAL BLACK BELT II PROJECT!

OPTIONAL: Black Belt II Project ($200)

YES, I will be doing a Black Belt II Project

NO, I will not be doing a Black Belt II Project

Do you have any dietary restrictions? If so, please specify.

Subscribe to e-newsletter

Yes

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