Application Form: Distribution of One Islam Products for Dawah/Non-Profit Organisations or Individual Daees
To speed up your application, please complete all sections of the form and provide as much detail where possible. Fields with a * must be filled in.

Company / Organisation:
* Name:     Title: Mr MrsMiss
Street:     * Suburb/City:
Postcode:      * State:      * Country:
 
* How many members in your organisation or group?
         1 - 5          6 - 10          11 - 20          Over 20
 
* What type of events do you or your organisation participate in? (ie. events in which Dawah products are distributed)
         Conferences / Lectures          Universities / Schools
         Mosques          Interfaith Conventions
         Other (please specify)   
 
* How many events do you estimate you or your organisation participates in per year?
         
 
* Please provide an estimation of the quantity per title you will order:
         50-100 100-200 200-300 300-400
         500 1000 Over 1000
 
* Please estimate the frequency of orders:
         One off Weekly Fortnightly
         Monthly Quarterly Yearly
 
* Please provide a brief description of your organisation (if applicable), eg, date of establishment, products currently distributed, link to your website, distribution plans, etc. If you are not part of an organisation, please provide a brief description of your distribution plans, or any other information that may be helpful in processing your application.
 
Please provide your contact details:
* Email Address:
* Phone:
Mobile:
Fax:
 
     
 
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EMAIL: 
PASS: 
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Which title would you like to see available from ONE Media?

Title:
Author:
Email:


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