Nikkah Request FormBride Information:Full Name of Prospective Bride *Email Address* *Date of Birth *Age *Phone *Daughter of (Father's Name) *Daughter of (Mother's Name) *Street Address *Groom Information:Full Name of Prospective Groom *Email Address* *Date of Birth *Age *Phone *Son of (Father's Name) *Son of (Mother's Name) *Street Address *Mehr & Nikkah Information:Established Mehr (marriage gift to Bride) *ImmediateDefferedDate of Nikkah Ceremony *Nikkah Time *HoursMinutesAMPMNikkah will be held at *Contact Person *Cell # *Witnesses:NamePhoneNamePhoneNamePhoneNote *There is a $500 donation to NAIFCENTER for the Nikkah. Send Form