1 - Submit this completed form electronically using the SUBMIT button below, or .2 - Complete this form, print it and fax it or mail it to us, or 3 - To write in Hebrew characters, complete the English, print the form, then fill in the Hebrew.
* Your Ketubah will be personalized based on the information you provide on this form. Please check for accuracy since we cannot be held responsible for errors on your Ketubah due to incorrect information we received. Tranliterations will be at artist's discretion unless Hebrew spelling is provided.
If you would like to fill in this form by hand, download here PDF personalizing form
* Denotes Required
Person Placing Order
* Name
* Phone Day
* Phone Eve
Fax
* E-Mail
Your Ketubah Choice
* Ketubah Name
* Artist
Ketubah ID Code
* Ketubah Text Choice
Person Performing Ceremony - Sometimes we have questions about the fill-in information.
Rabbi / Officiant
Phone
Date of Marriage - We can calculate Hebrew date if you indicate before/after sundown below.
* English Date - Include Day of Week & Date
Hebrew Date
IMPORTANT: * When will ceremony take place Before Sundown . After Sundown
Place of Ceremony ( City & State ) If Hebrew is not provided artist will transliterate
* English - City & State
Hebrew - City & State
Bride's Information If you cannot write in Hebrew letters, write names out in English. We will convert it into Hebrew. If someone does not have a Hebrew name, indicate "TR" and we will transliterate the name into Hebrew.
Bride's Name - as it should appear on the ketubah
* English Name ( first, middle, last )
Hebrew Name
Brides's Parents
* English: Father & Mother - First Names
Hebrew: Father & Mother - Names
Brides Father is a: ..... Cohen ......... Levy ......... Yisrael ......... N/A
For Traditional Aramaic (Orthodox) & Conservative, Lieberman Clause Text Only
Brides Status:... First Marriage ..... Divorced ..... Widowed ..... Convert.....
Father Deceased
Include Mothers Hebrew Name: .. Yes Include ......... No Don't Include
Groom's Information If you cannot write in Hebrew letters, write names out in English. We will convert it into Hebrew. If someone does not have a Hebrew name, indicate "TR" and we will transliterate the name into Hebrew.
Groom's Name - as it should appear on the ketubah
Groom's Parents
Grooms Father is a: ..... Cohen ......... Levy. ......... Yisrael ......... N/A
Approval of Personalized Information Signature
* Type name if submitting electronically
Additional Comments or Instructions
To transmit this form directly to us click on the submit button here