The HeArt Centre Dergah - Dhikr - Expression of Interest Form

📛 Full Name

📧 Email Address

📞 Phone Number

🏠 Address (with postcode)

🌙 Type of Gathering (Dhikr / Mawlid / Other – please specify)

📅 Preferred Date(s)

👥 Approximate Number of Guests

🎵 Would you like Aashiq Al Rasul members to attend? (Yes / No / No preference)

🔊 Is there space available for a small sound system setup?

🚗 Parking available nearby?

📝 Any other notes or requests

I understand this is a spiritual visit and not a private or commercial event.

The HeArt Centre Dergah, 73-75 Shaw Hill Road, Ward End, Birmingham, B8 3LJ

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