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Attendance Request - Imam Zaid Shakir
If you would like Imam Zaid to attend your upcoming event, please fill out this form.
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Is there a date set for your event? (If so, please indicate. If not, skip to next question.)
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/
DD
/
YYYY
How many hours is the event?
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1 - 3 hours
3 - 6 hours
All day
More than 1 day
Other:
Where will this event be happening? (City, State, Country)
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Your answer
Is it a fundraising event?
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Yes
No
Maybe/Partially
Other:
Briefly describe the type of event. (Nikah ceremony, Community Festival, Grand opening, etc.)
*
Your answer
Is there an honorarium/compensation for his attendance?
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Yes
No
Maybe/Negotiable
Other:
Travel arrangements, hotel for 2 people, meals and all transportation are included (if applicable; will be discussed in detail upon approval of this request).
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Yes
No
Maybe/Negotiable
Other:
Who is the primary sponsor/organization/entity/host for your request? (Name and URL)
*
Your answer
Primary Sponsor contact information: (Phone, Email, and Address)
*
Your answer
Are there additional organizations/entities/sponsors for this event? (Please list)
Your answer
Who will be the primary contact person for the event? (Name, phone, email)
*
Your answer
Who will be the secondary contact person for the event? (Name, phone, email)
Your answer
Your name and phone number:
*
Your answer
Your email:
*
Your answer
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