Dars Request Application
About the Event:
When is Dars Requested *
MM
/
DD
/
YYYY
Please provide 'Start-time' for the Dars *
Time
:
What is the Occasion for conducting this Dars *
Select Language to be conveyed in *
Required
What is the 'Topic' of Dars *
Estimated No. Of Attendees *
Preferred Speaker requested *
Response requested by Date *
MM
/
DD
/
YYYY
Which city is Dars requested in *
Dars Venue *
mention complete address where Dars is going to be conducted
About the Requester/Host:
Full Name *
full name + last name
Contact Home Phone
Contact Cell No. *
Email Address *
How are you connected to Al Huda? *
Required
What best describes you: *
Required
About the Audience:
Type of Audience *
What best describes the majority of your audience: *
Required
Other Notes:
Submit
Never submit passwords through Google Forms.
This form was created inside of Al Huda Institute Canada. Report Abuse