Rebook – Destination Islam

This page is for existing 1 to 1 clients only who wish to re-book another appointment. Please complete the form below so we can access your records and call you to make an appointment.

Please note: The fastest way to book your appointment is directly with your Tutor/Therapist at the end of every meeting.

Mr / Mrs / Miss / Ms / Other - Please enter

First Name

Surname

Address 1

Address 2

Town/City

Postcode

Country

Email Address

Best telephone number to call you on?

Please tell us when is the best time of day to call you - Currently we are only able to call between 11.30am & 7.00pm (7 days a week) - Please specify 2 HOUR minimum slot within these times which would be best suited to you.

Please tell us which service do you wish to rebook:

Salah Tuition - 1 to 1

Islam Tuition

Islamic Therapy

New Muslim / Revert Support

Salah Recitation

Other*

*If Other please specify. Thank You.

What is the name of your Tutor/Therapist?

When approximately was you last meeting?

Please add any further information if required.