This retreat is brought to you by: Productive Muslim Halaltrip logo

Application Form
(Arrive 30th June - Retreat 1st July to 8th July - Depart 9th July)

Assalamu’alaikum,

Thank you for your interest in the Productive Muslim Retreat. Please complete the application form below as accurately and as fully as possible. If you’re applying as a family, you only need to fill one application form.

Once your application form has been approved, you’ll receive a call from HalalTrip.com to answer any queries you have and finalize your reservation. Unsuccessful applications will be notified by email.

ProductiveMuslim & HalalTrip Team

Full name *

Email *

Phone no. to reach *

Best time to call *

Timezone

Facebook/Linkedin profile

Tell us briefly about you and why you want to attend the retreat*

Why should we choose you to attend the retreat?*

What would be the most important outcome for you to feel the retreat was successful for you?

We only accept very limited number of retreat participants and we select applicants based on those we feel are best fit and MOST LIKELY to gain the best experience from the retreat.

If you are accepted, how soon can you make a reservation?

Do you have the financial resources to fund your participation in this retreat?*

How many are you? (We offer 50% discount to children ages 4-12 and FREE for children under 4 years old).

Number of Adults attending the Retreat *

Number of Children attending the Retreat *

City *

Country *

Do you have any burning question/concern you’d like addressed before you make a final decision?

Do you want to open this link in the HalalTrip Mobile App?

Application Form (Arrive 30th June - Retreat 1st July to 8th July - Depart 9th July)

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Application Form
(Arrive 30th June - Retreat 1st July to 8th July - Depart 9th July)