Inter-Faith Educational Program

REQUEST FOR AN EDUCATIONAL PRESENTATION ABOUT ISLAM/INTER-FAITH DIALOGUE AT YOUR CHURCH/COMMUNITY CENTRE/SCHOOL

Educational Presentation - Please arrange an educational presentation at our Church/Community Centre/School/University for us.Inter-Faith Dialogue - Please participate as speaker at inter-faith dialogue at our Church/Community Centre/School/University for us.

Provide Details for the Request (e.g. your background? Reason for requesting presentation/inter-faith dialogue? Proposed title of lecture/time/schedule/complete address of your location etc.) *

ORDER DETAILS

My faith is: *

If selected other above, please specify:

I was referred by:

If selected other above, please specify:

Comments (e.g. Comments about our website/services etc.)

Comments (e.g. your background? Reason exploring Islam? Comments about our services etc.)

ORDER DETAILS

Name *

Address *

Scroll down option for Canada – province names and for rest of the world, select Other with country name enter manually

Email *

Phone *

Include full area/dialing code