Contact information for everyone affiliated with Shaykh in the US is being gathered to form a national database—a tangible network linking us closer together—to be used to communicate quickly and mobilize our collective resources swiftly to support Shaykh in his various noble endeavors. Working for Shaykh is essentially working for Allah; and, when we seize the opportunity to work for Shaykh, Allah will definitely be working for us.               

Please fill out the short form below!

National Database Contact Form

Please complete each section in this form. If you don't have an email address, ask a family member or friend to allow you to use theirs. Please do not leave any section blank. Your contact information will be kept confidential and private.

Personal Information

Name

Street/Mailing Address

Street Address
Address continued

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(don't leave out any characters!)

Email Address

Home Phone 

Mobile Phone 

Profession/Industry
Vocation/Trade/Specialty

Community Information

Complete this brief information about your community

Zawiya/Masjid/Community
Local Imam or Deputy (Muqaddam)

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