Raleigh Hajj Group Pre-Registration Form
May Allah SWT make your Hajj preparations easy for you and accept your intention of performing Hajj.

Please fill out this pre-registration form if you are planning to perform Hajj with the Raleigh Hajj Group. Filling out this form does not reserve a spot, nor does it bind you to perform Hajj with us. We will use your contact information to keep you informed. Please fill out this form for every member of your family who intends to perform Hajj.

When you fill out the registration form which is a separate form and hand over a deposit, then your seat will be reserved.

Name
Please enter your name as it appears on your passport. Please be aware that Saudi Arabia has additional restrictions for women travelers. They have to be accompanied by a male relative such as husband, father or son. This restriction is waived if you are 45 years or older.
Title *
First Name *
Your answer
Middle Name
Your answer
Last Name *
Your answer
Contact Information
Email Address *
Your answer
Home Phone *
Your answer
Cell Phone
Your answer
Hajj Package
We have selected Adam Travel as our travel agent for Hajj. The Hajj package has three options. The cheapest option is when four people occupy one hotel room and the most expensive option is two people per room. Please let us know which option do you prefer?
Hajj Package *
Special Requests
Do you have any other special requests?
Your answer
Detour
Adam Travel allows you to add a detour to a city of your choice either before or after Hajj. Our tentative dates for Hajj are September 13 to September 27, 2015. There is an additional cost per person for adding a detour.
Detour *
Are you interested in adding a detour to the Hajj Package?
When
Do you want the detour before or after the Hajj?
City
What city would you like to visit?
Your answer
Duration
Please specify the duration of your detour
Your answer
Submit
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