GET IT PERSONAL!

Order # (For office use):_____________________________

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 Shoham Consulting.

*****WE NOW ACCEPT ALL MAJOR CREDIT CARDS.*****

Our ketubah choice media:
Our dream ketubah:__________________________________

We want this text:__________________________________

Artist paper(Giclee)	Artist Canvas(Giclee)
Arches (Serigraph)(lithograph)	Pordenone (lithograph)

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

Order # (For office use):_____________________________

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___________________

Fax _______________________
Shipping address here:
__________________________

__________________________

GROOM'S INFO

BRIDE'S INFO