Online Event Form – Masjid Hamza

Contact Name *

Phone Number *

Email *

Address *

Date of Event *

Start Time:

Ending Time *

Number of Men Expected *

Number of Women Expected *

Reason for Event *

Nikah
Other (explain):

Others

Requirements:

• Must be able to bring a copy of marriage license
• Bride and Groom must be able to bring picture ID and two male witnesses
• If either party is a revert or is unable to produce witnesses or a family member, please write N/A in the appropriate boxes and elaborate further in the comments box.

Request for Imam to Perform Nikah *

Specify the Name of Imam *

Groom’s Name: *

Groom's DOB *

Groom’s Father Name *

Bride’s Name *

Bride's DOB *

Bride’s Father Name *

Mahar Amount (dowry): *

Select all applicable

Deferred
Don’t Disclose
Disclose

Two Male Witnesses *

First

Last

Name of Bride’s Representative (wali): *

Relationship to Bride:

Date of Marriage License:

Location:

Questions or comments:

I acknowledge:

Masjid Hamza offers a wide array of programs and services that may make the Masjid unavailable to host this event. I am not guaranteed the date and time I have requested for the Nikah. After I have received confirmation from Masjid Hamza then I may inform my guest of the event.

There is a Masjid fee of $250 to host Nikah at the masjid. In addition, if chai (tea) is needed, there is an additional cost of $40 per 4-gallon container. These fees will be collected prior to the event.

Due to limited space and resources Masjid Hamza has to offer, requests to serve food will be discussed upon approval of the event.

You will receive a response within 2-3 business days.

Initial: *

[email protected]

516 285 8585

Event Form