Program Request Form
Assalamu Alaikum,

ISGH Maryam Islamic Center is dedicated to serving the religious, social, and educational needs of the local community.  We welcome you to complete this form to assist the administration in understanding your vision.   To further help you with your event/initiative, please complete and submit the form. Upon submission, a member of our administration will contact you. Please allow for 72 Hours between communications. Maryam Islamic Center requires 2 weeks advance notice for any event.

DISCLAIMER: Please do not advertise for any event without an approval confirmation from the Maryam Islamic Center administration.
There is NO FUNDRAISING ALLOWED without exclusive permission from the ISGH Main Center.

JazakAllah Khair

Maryam Islamic Center Administration
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Email *
Name *
Contact Number *
Date of Event *
MM
/
DD
/
YYYY
Start Time of Event *
Time
:
End Time of Event *
Time
:
Applicable Department for Event *
Program description *
Name of Speaker(S) and Brief Info *
Is Your Request for a Reoccurring (Repeat) Event? *
If Yes to Reoccurring (Repeat) Event, Please Provide Details of  Frequency etc. *
AV Setup Requirements *
Required
Expected Attendance (Headcount) *
Desired Space for Program? *
Required
Facilities Setup *
Required
Will Food Be Served During Program? *
If answered Yes to above, please provide details, e.g caterer info, snack/meal.
Additional Information - Please ensure to include any specific instructions relevant for your program *
Who will be creating the flyer? *
If you are creating the flyer, please make sure to include the Maryam Islamic Center logo on your flyer. The logo can be downloaded at https://www.maryammasjid.org/miclogo/
Please remember when submitting this, you agree to understand the rules of Maryam Islamic Center and will respect the House of Allah SWT when having your event.
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