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Consultation Session Registration Form
Thank you for your interest in attending a consultation session with an Ustadz or Ustadzah during Muktamar 2022 in Boston, Massachusetts.
If you wish to speak to multiple Ustadz or Ustadzah,
please complete another form
.
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Email
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Your email
What is your name? (FirstName LastName)
*
Your answer
What is your age?
*
Your answer
Please provide the best phone number for us to reach you.
*
Your answer
Which Ustadz or Ustadazah would you like to talk with?
*
Imam Fahmi Zubir (Ruqyah Clinic; December 26)
Brother Abdullah Darsono (Ruqyah Clinic; December 26)
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