Speaker Requests

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Contact Details (organization and/or principal contact for event) (required)

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Brief description of what organization does (required):

Website:

Telephone Number:

Title/name of event:*

Proposed date of event:*

Alternative dates if this date does not work for the speaker:

Which other speaker(s) are expected to attend (if any)

Location of event (please include full address including postcode):

Time given for lecture:

What time do you require the shaykh to arrive?

What time can the shaykh expect to leave? Please include details if shaykh is expected to attend a food invitation.

Details of Travel Arrangements (Transport arrangements will need to be made or payment of transport costs taken into consideration.)

Expected attendance of Brothers ... Sisters ....

Details of seating arrangements

Does the venue allow video recording

Can an arrangement be made for a table to be setup to sell some of the books and audio of the speakers.

Would volunteers be available to man the table?

Objectives of this program (what you wish to achieve by holding this event).

Please use this space to provide us with any other details relating to this event, peculiar circumstances of audience, local issues and challenges, audience sensitivities, etc.

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