Hajj 2022 Reservation Form

First Name*

Last Name*

Phone

Relationship

What's your first language?

What's your local masjid?

Do you have any dietary restrictions?

Yes No

Do you have any physical disabilities?

Yes No

Is this your first time going for Hajj?

Yes No

Would you like to purchase travel insurance for your trip?

Yes No

What class of service do you prefer to fly in for Hajj?

Business Economy

Would you like to add any comments or special requirements?

Yes No