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 Nikah
*
-
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 Nikah
*
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
Bride 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
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 (Current)
*
Dowry/Mehr (Future)
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
$
400.00
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
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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