Microsoft Forms

Rahma Center Matrimonial Service Form

In the name of Allah, the Most Gracious, the Most Merciful “And among His signs is this, that He created for you spouses from among yourselves, that you may find repose in them, and He has put between you affection and mercy. Verily, in that are indeed signs for a people who reflect.” Al-Room (30:21)
Please read the following carefully before proceeding.

If you only need an officiation of your marriage with a Rahma Center officiant, here is what Rahma Center will provide:
1. A meeting with the marriage officiant prior to the matrimonial service date.
2. Wedding officiation in an office for up to 6 people.
3. Bottled water.
4. An officiant to perform the ceremony.
5. Sigining of the completed county license.
6. A marriage certificate from Rahma Center.
7. A 30-minute window to complete the ceremony.
Applicant's Full Name*

First NameLast Name
Applicant's Email*
example@example.com
Applicant's Phone Number*
Please enter a valid phone number.
Applicant's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Full name of the groom: Groom's Full Name*.
Full name of the bride: Bride's Full Name*.
Groom's Religion
Bride's Religion

First Choice for Matrimonial Service Date & Time (Services are 30-minutes long)*
Second Choice for Matrimonial Service Date & Time (Services are 30-minutes long)*
Third Choice for Matrimonial Service Date & Time (Services are 30-minutes long)*

Payment
Matrimonial Service Fees (up to 6 people in the office). If the date and time requested is unavailable, a full refund will be issued within 48 business hours.*

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USDMatrimonial Service - Office

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

Rahma Center Matrimonial Service Form