Please print out this order form, and fill it out with your personal details, We will be happy to assist you with the Hebrew spelling. Please fax it back to: 973-655-8085 along with your contact information, Tel/Fax/email. We will prepare you a text proof customized in the shape of the ketubah of your choice. If you have any question regarding the texts, please contact us: Toll free 1-800-KETUBAH (5388224) Show this form to your Rabbi/Cantor/Officiant for their approval if needed. If payed by check please make check payable to 1800 KETUBAH.COM
*****WE NOW ACCEPT ALL MAJOR CREDIT CARDS.*****

Our dream ketubah:__________________________________ text:__________________________________ Our ketubah choice media: Artist paper(Giclee) Artist Canvas(Giclee) Size: Size: Our Wedding day Before Sundown After Sundown   English date__________________________________________ Hebrew date:(we will look it up if needed)____________________   City, State of ceremony:_________________________________

GROOM’S INFO
Groom’s English Name	First:_____________________	Middle:___________________	Last:___________________
Groom’s Hebrew Name	First:_____________________	Middle:___________________	Last:___________________
Father’s English Name	First:_____________________	Middle:___________________	Last:___________________
Father’s Hebrew Name	First:_____________________	Middle:___________________	Last:___________________
Is father a: kohen levi israelite?
Is father living? Yes No
Mother’s English Name	First:_____________________	Middle:___________________	Last:___________________
Mother’s Hebrew Name	First:_____________________	Middle:___________________	Last:___________________
Is mother living? Yes No

BRIDE’S INFO
Bride’s English Name	First:_____________________	Middle:___________________	Last:___________________
Bride’s Hebrew Name	First:_____________________	Middle:___________________	Last:___________________
Bride marital status: First time Divorce Widow convert
Father’s English Name	First:_____________________	Middle:___________________	Last:___________________
Father’s Hebrew Name	First:_____________________	Middle:___________________	Last:___________________
Is father a: kohen levi israelite?
Is father living? Yes No
Mother’s English Name	First:_____________________	Middle:___________________	Last:___________________
Mother’s Hebrew Name	First:_____________________	Middle:___________________	Last:___________________
Is mother living? Yes No
IMPORTANT 1. Who will be signing you ketubah? Rabbi Cantor Officiant Other_____________________________
2. For Orthodox and Conservative texts only: Will your Rabbi fill in the “Qof” hebrew letter (see bellow) in the word “Vekanina” ? Yes, my Rabbi will complete the letter “Qof”. No, please fill it for us.

	Your address here: __________________________ __________________________ Tel. Day____________________ Tel. Home___________________ email _______________________ Shipping address here: __________________________ __________________________
Copyright © 1992-2016 1800ketubah.com ©Nava Shoham. All rights reserved.