Travelers Assistance for Into the Mirror
Assalaamu alaykum and welcome to Qabeelat Wasat!

We are excited to have you join our Qabeelat for Into the Mirror with Shaykh Suleiman Hani. Our hospitality team would like to help make your trip to Chicago as wonderful as possible.

Please fill out this registration form by Jan 14, 2020 and a member of our hospitality team will reach out to you to assist. Please do not hesitate to contact us with any further questions.

If your plans have changed and you will not be needing accommodations or you will not be attending the class, please let us know ASAP.
Obaid Razi (
Jawairiya Rasool (
Name *
Your answer
Phone Number *
Your answer
Email Address *
Please provide the email you used to register with on
Your answer
Have you registered for the class online? *
Please register at if you have not
Which of the following best applies to you? *
If you are a group, how many are in your group (including you)? *
Please have only one person fill out the form
Your answer
What are the names of the people in your group (excluding you)? *
Your answer
What day and time are you arriving and leaving? *
Your answer
What would you like to learn more about? *
You can ask specific questions at the end of this form.
If you are interested in hotel rooms/accommodations, are you able to afford your own hotel room?
Qabeelat Wasat is offering a limited amount of sponsored hotel rooms for travelers with financial difficulties but we ask that those who can afford to book their own hotel rooms for the weekend do so.
Any other questions/comments/concerns?
Your answer
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