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Order Online or by Phone
All prices in US dollars.

If you have ordered a ketubah with personalization you must either fill in the form below or download our
Printable/Faxable Version of the Form

Boxes marked with an asterisk ( * ) must be filled in.

*Ordered by:
*Ship to:
 
 

 ORDER #              :
*Ketubah / Artist  :
*Ketubah Text      :
 
*Phone (main):
  Phone (cell):
   
*E-Mail:


PLEASE READ! IMPORTANT!: Please fill in this form as completely as possible. TRY NOT TO leave anything blank. Only include your parents’ FIRST names in English. If someone doesn’t have a Hebrew name, please write “transliterate” – this means that we will write the English name in Hebrew letters.
Bride's Information
       
BRIDE'S Full English Name first middle last
 
Parent's English Names:
(first name only)		 mother  
father  
Bride's Hebrew Name:
Parent's Hebrew Names: mother Include Mother's Hebrew name: Yes
No
father  
*If you do not wish to have your mother's Hebrew name appear on a traditional text, please note your desire explicitly.
We recommend that you ask your Rabbi.
Bride's marital status   (for orthodox and conservative)
 
Is father living? Yes Is mother living? Yes
No No
       
Is father a:   (If unsure, ask your rabbi.)
Groom's Information
       
GROOM'S Full English Name first middle last
       
Parent's English Names:
(first name only)		 mother  
father  
Groom's Hebrew Name:
Parent's Hebrew Names: mother  
father  
*If you do not wish to have your mother's Hebrew name appear on a traditional text, please note your desire explicitly. We recommend that you ask your Rabbi.
Is father living? Yes Is mother living? Yes
No No
Is father a:   (If unsure, ask your rabbi.)
 
Wedding Date:
English
Hebrew (we can look this up for you )
Day of Week:
Time of day Before Sundown      After Sundown
 
City, State of Ceremony:
Additional Information:
 
Please make sure that all the information on this form is complete, correct, and legible. We recommend that your rabbi or cantor approve this form. We cannot be responsible for mistakes, omissions, or illegible information. Please use Hebrew letters if you want specific spellings. If you use English letters for Hebrew names, we will spell the names phonetically. If you need any help in completing this form, we would be more than happy to help you.