Please print this form, fill out all required information legibly and FAX to us at 912-598-2179.
| Ordered by _________________________ | Phone (daytime)_______________________ |
| Ship to ____________________________ | Phone (evening) ______________________ |
| __________________________________ | FAX _______________________________ |
| __________________________________ | Email _______________________________ |
| Referred by_________________________ | Phone Number________________________ |
| Ketuba number/style __________________________________ |
Ketuba text (Anniv, Con, Interf, Orth, Ref) ____________________________________ |
| Ketuba (image) size___________________ | Text
color ___As shown __Black
_________Other (please indicate PMS color) Add $25. |
|
|
|
| Groom's given name English_________________ | Bride's given name English___________________ |
| Groom's given name Hebrew_________________ | Bride's given name Hebrew__________________ |
| Groom's last name English__________________ | Bride's last name English____________________ |
| Groom: Is father a __Kohen __Levi __Israelite (if uncertain, ask your Rabbi) |
Bride: Is father a: __Kohen __Levi __Israelite
(If uncertain, ask your Rabbi) |
| Groom’s father __living __deceased.
Groom’s father Jewish? __Yes __No |
Bride’s marital status: __First time __Widow __Divorced __Convert __Other |
| Groom's
Parents’ English given name:
Mother______________________________________ Father ______________________________________ |
Bride’s Parents’ English given name:
Mother_______________________________________ Father _______________________________________ |
| Groom's
Parents
Hebrew given name: Father ______________________________________ Mother______________________________________ |
Bride's
Parents Hebrew given name: Father ______________________________________ Mother______________________________________ |
| Wedding
date _____________________________________________ |
Day of the week
_______________________________ __Before sundown __After sundown |
| Month: English_______________ Hebrew *______________ |
Year: English_______________ Hebrew *______________ |
| *
For anniversary
ketuba, we can provide Hebrew dates when English dates are available |
|
| Temple/Synagogue name and City (optional: State/province) where ceremony is performed: ___________________________________________________________________________________________ | |
| Shipping
options: Please ship my ketubah ___via our standard
method (2nd Day Air
$9.95) ___Next Day Air (19.95) Signature______________________________________________________ Date________________________ |
|
For an electronic version of this form click here
Please make certain that all the information on this form is
complete and accurate.
It is recommended that your rabbi or cantor review this form with you.
Where Hebrew is requested, please spell out
individual Hebrew letters in English,
ie: tsadik vet yud=
.
For interfaith ketuba, when Hebrew names are not available, write "transliterate"
on the form.
In Hebrew, it is traditional to place the father’s name first. We therefore place the mother’s name first in English. If you desire a different format, please indicate your wishes clearly in the "special requests" section. Specific color requests for text can be accommodated (click here), as well as specific texts, (click here) but please confer with your rabbi to make certain that your selected text is appropriate.

5 Stone Hewer Lane
Savannah, GA 31411
912.598.2179
info@rochellefrank.com
No
part of this site nor any part of the ketubot, including individual ketuba text
(excluding public domain text), may be copied or reproduced without express
written permission of
Rochelle Frank or RochelleFrank
Designs.
Offenders will be prosecuted to the full
extent of the law.
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