Nikkah

Your name *

First Name

Last Name

Your phone *

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Groom's name *

First Name

Last Name

Groom's phone *

(###)

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Bride's name *

First Name

Last Name

Bride's phone *

(###)

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Proposed wedding date *

MM

DD

YYYY

Attestation

Confirmation that I have read the Marriage/ Nikkah information provided on the AMIC Imam services page