Nikah Service Request
This request form must be submitted ahead of time in order to get the nikah done on the desired date including the payment. The request should have the copy of state issued marriage license and the IDs of the groom, bride and wali (guardian) uploaded.
Date of the Time
*
-
Month
-
Day
Year
Date
Imam/Shaikh that will officiate Nikah
*
Please Select
Shaykh Abdul Aziz Suraqah
Shaykh Ramadan Elsabagh
If the selected Imam/Shaikh is unavailable, the next preferred Imam/Shaikh will be contacted
Time of the Event
*
Hour Minutes
AM
PM
AM/PM Option
Groom Information
Groom Name
*
First Name
Last Name
Groom Contact
*
Format: (000) 000-0000.
Groom Email
*
example@example.com
Groom Date of Birth
*
-
Month
-
Day
Year
Date
Father's Name
First Name
Last Name
Mother's Name
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Bride Information
Bride Name
*
First Name
Last Name
Bride Contact
*
Format: (000) 000-0000.
Bride Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Wali (Guardian) Name
*
First Name
Last Name
Wali (Guardian) Contact
*
Please enter a valid phone number.
Format: (000) 000-0000.
Wali (Guardian) Email
example@example.com
First Witness Name
First Name
Last Name
Second Witness Name
First Name
Last Name
Dowry/Mehr Amount
Documents Upload
Upload the state issued marriage license and legal IDs of the groom, bride and wali (guardian).
File Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Payment
*
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Service Fees
$
400.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
I will provide all the required documents at least 1 week before from the event date. If I am unable to provide the required documents at the specified time then Sachse Muslim Society reserves the right to cancel the nikah.
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