Name of Madressa

Name of Islamic Centre

First name of Applicant

Surname of Applicant

Email Address

Phone Number

What is your position in the Madressa?—Please choose an option—TeacherVolunteerManagerOther

What is the age range of the class?—Please choose an option—4-67-89-1011-12

Why do you need the books for your class?—Please choose an option—We have no Muharram material for kidsWe need new Muharram material for the childrenIt’s free so I want it to occupy the childrenOther

If other, please describe below:

What future Muharram material would you like for the young Hussaini’s and Zainabi’s?—Please choose an option—VideosBooksGamesAnything and everythingOther

If other, please describe below:

Full address to post the 2 free books to