Nikah Service Request
Please fill out this form to request for Nikah Service at EPIC. Please select a date when you would like to have the Nikah Service Performed. The date is not final until approved by EPIC administration.
Your Name
*
First Name
Last Name
Email
*
Phone Number
*
Nikah Service Request Date
*
Event Date
Nikah Service Date Selected
Event Time
*
Dhur
Asr
Maghreb
Ishaa
Number of Guests Expected
*
Question or Comments
Attach a File
Choose Files
Cancel
of
Nikah Service
*
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Nikah Service Fee
$
300.00
This is a one time fee for Nikah Services.
Total
$
0.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: