Events Request Ticket
Name of Event
Name of Person or Group requesting Event
Event Start Date
Event End Date
Alternate Date
Start Time
AM
PM
End Time
AM
PM
If this event is for multiple dates, will it occur every:
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
If the above does not describe the days of your event(s) please describe
Event Location
UMM
UMIC
Other
If other location specify
Purpose
Nikah/Wedding
Janazaa
Lecture
Class
Presentation
Iftar
Overnight Event
Other
If there are speakers who will it be? Use commas to separate multiple speakers
If other give details
Contact Person
Alternate Contact
Email
Cell Phone
Describe Your Event
Are you a member of UMM?
Yes
No
Will this be a United Muslim Masjid sponsored event?
Yes
No, This an independent event
Is there an admission fee?
No
Yes
If yes, how much?
Will security be needed?
No
Yes
Will audio/video assistance be needed?
Yes
No
Will the room need to be set up (i.e. tables and or chairs)
Yes
No
How many people do you anticipate?
Will there be non-Muslims in attendance?
No
Yes
Maybe
Any special requirements for disabled persons? Give details:
Will any food, goods, services or products be sold?
No
Yes
If yes give details:
Will any food, goods, services or products be given away?
No
Yes
If yes give details:
Are vendors invited?
No
Yes
What will be sold:
Is there a cost to the Masjid for this event?
No
Yes
If yes, how much?
Has the group completed a budget for fees and expenses?
No
Yes
If there is a flyer advertising this event please submit
Attach flyer
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If there is a budget please attach
Attach budget
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If there is a contract from a third party vendor please attach
Attach cotract
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