*Please fill out the Form with your correct information.
*Your information will be kept confidential.
*Your Age, Profession and Ethnic Background would be advertised on the Al-Hikmat Magazine, Inshaa Allaah.
SERVICES FEE - $25.00 FOR:
*AD on Al-Hikmat Website *AD on Al-Hikmat TV
-Plus other Misc. services such as Matching info., etc.
SEEKING MARRIAGE
With a Suitable Companion
Name:
Date of Birth:
Gender:( )Male ( )Female
Tel: Cell: E-mail
Address: City: State: Zip:
Ethnic Background/Nationality:
( )Asian ( )Middle Eastern ( )African ( )European ( )North American ( )Other
Nationality: Height: Divorced: ( )Yes ( )No
Profession: Occupation:
( ) Please find enclosed / attached a copy of my Photo.
Seeking Suggested Qualities in a Spouse:
Date of Birth: Nationality: Height:
Ethnic Background/Nationality:
( )Asian ( )Middle Eastern ( )African ( )European ( )North American ( )Other
Profession: Occupation:
